Individual
MRS. LYNNE M KOSMACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CDE
Contact information
Practice address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
(218) 878-2136
Mailing address
1802 WOODLAND AVE, DULUTH, MN 55803-2547
(218) 728-5375
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R-1089282
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911017800
—
MN
Enumeration date
09/29/2005
Last updated
05/24/2013
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