Individual
LORA MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 COUNTY ROAD 101 N, PLYMOUTH, MN 55446-2308
(763) 478-4612
Mailing address
19846 TYLER ST NW, ELK RIVER, MN 55330-2241
(184) 325-0058
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10776
MN
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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