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Organization

LOKEH PLASTIC SURGERY PA

Active
Other names
Twin Cities Plastic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTINE EVELYN LANIE CST (OFFICE MGR)
(612) 360-7700
Entity
Organization

Contact information

Practice address
15535 34TH AVE N # 100, PLYMOUTH, MN 55447-1481
(612) 360-7700
(763) 479-3006
Mailing address
3500 VICKSBURG LN N # 128, PLYMOUTH, MN 55447-1334
(612) 360-7700
(763) 479-3006

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40568
MN

Other

Enumeration date
10/17/2008
Last updated
06/30/2014
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