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Individual

LAURA ELIZABETH DRISCOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3100 KENNARD ST STE 230, SAINT PAUL, MN 55109-5465
(651) 397-0570
Mailing address
3100 KENNARD ST STE 230, SAINT PAUL, MN 55109-5465
(651) 397-0570

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13580
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1437150877
AALFA FAMILY CLINIC
MN
Enumeration date
04/08/2021
Last updated
11/25/2024
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