Individual
LAURIE L EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5811 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-1458
(952) 544-6223
(952) 544-6271
Mailing address
5811 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-1458
(952) 544-6223
(952) 544-6271
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0415899
MN
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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