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Individual

LAUREN WHITEFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EDD

Contact information

Practice address
10648 JACKSON DR, EDEN PRAIRIE, MN 55347-4425
(612) 473-7733
Mailing address
10648 JACKSON DR, EDEN PRAIRIE, MN 55347-4425
(612) 473-7733

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
09/27/2024
Last updated
09/27/2024
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