Individual
MRS. LESLIE A RONNEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 4TH AVE, NORTH FERGUS FALLS, MN 56537
(218) 998-3778
(218) 998-3187
Mailing address
38933 18TH AVE, MENAHGA, MN 56464
(218) 564-4848
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0567242
MN
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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