Individual
LENING MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(855) 247-8474
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(855) 247-8474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9282243
FL
Other
Enumeration date
11/06/2017
Last updated
09/26/2023
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