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Individual

LAURA MARIE LENIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CO

Contact information

Practice address
701 25TH AVE S, MINNEAPOLIS, MN 55454-1513
(612) 365-6777
Mailing address
420 DELAWARE ST SE MMC 493, MINNEAPOLIS, MN 55455-0341

Taxonomy

Speciality
Code
Description
License number
State
156FX1900X
Orthoptist
Primary
MN

Other

Enumeration date
04/01/2016
Last updated
04/01/2016
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