Individual
MOLLY LYNN NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12874 HILLSIDE RD, LAKE PARK, MN 56554-9190
(218) 841-8586
Mailing address
12874 HILLSIDE RD, LAKE PARK, MN 56554-9190
(218) 841-8586
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
H000070928000
MN
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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