Individual
SUSAN C LEMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
(763) 236-1066
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R1121959
MN
363LF0000X
Family Nurse Practitioner
Primary
417
MN
363LF0000X
Family Nurse Practitioner
R1121959
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252022200
—
MN
Enumeration date
06/22/2006
Last updated
03/11/2021
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