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Individual

DR. LAURIE ANN MCLEOD-LORENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
13819 HANSON BLVD NW, ANDOVER, MN 55304-7608
(763) 572-5710
(763) 862-4415
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42967
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0109801
MEDICA #
MN
01
1032342
PREFERRED ONE
MN
01
142815
UCARE MN#
MN
01
1691726
AMERICA'S PPO
MN
01
260J0MC
BCBS OF MN
MN
01
6605853
MEDICA UC #
MN
01
7347461
AETNA INS
MN
05
886498500
MN
01
HP35993
HEALTHPARTNERS
MN
Enumeration date
07/07/2006
Last updated
11/06/2020
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