Individual
LYNETTE CORRINE KLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
901 9TH ST N, VIRGINIA, MN 55792-2348
(218) 741-3340
Mailing address
7595 TIMBERLORE TRL, COOK, MN 55723-8728
(218) 741-3340
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R070892-0
MN
Other
Enumeration date
08/11/2005
Last updated
07/11/2007
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