Individual
MICHAEL JAMES LYRENMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPA-C, RNFA
Contact information
Practice address
7373 FRANCE AVE S, SUITE 312, EDINA, MN 55435-4534
(952) 832-0076
(952) 832-0477
Mailing address
6465 WAYZATA BLVD, SUITE 900, ST LOUIS PARK, MN 55426-1728
(952) 512-5600
(952) 512-5650
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
R0831237
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55A74LY
BLUECROSS BLUESHIELD
—
01
—
969991007207
PREFERREDONE
—
01
—
HP47971
HEALTHPARTNERS
—
Enumeration date
08/30/2006
Last updated
01/15/2009
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