Individual
MELISSA KATUSKY LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3799
(612) 863-4000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R-180483-6
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
2760
MN
Other
Enumeration date
07/19/2013
Last updated
11/05/2024
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