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Individual

LORI LYNN DEFRANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32852
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31490900
WI
05
914295500
MN
Enumeration date
06/29/2006
Last updated
07/22/2013
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