Individual
SUSAN J LAVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, DNP
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-7870
Mailing address
6714 OAKLAND AVE, RICHFIELD, MN 55423-2554
(612) 861-8136
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2045
MN
363LW0102X
Women's Health Nurse Practitioner
R1171970
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-00900
MEDICA
—
01
—
1017714
PREFERRED ONE
—
01
—
1069672
AMERICA'S PPO (ARAZ)
—
01
—
111465
UCARE
—
01
—
21274
SIOUX VALLEY HEALTH PLAN
—
01
—
5K123LA
BCBS MN
MN
05
—
904718200
—
MN
01
—
HP18165
HEALTH PARTNERS
—
Enumeration date
01/25/2006
Last updated
09/27/2023
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