Individual
LEVI GARRETT LA PORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN/CRNA
Contact information
Practice address
DULUTH CLINIC, 400 EAST THIRD STREET, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
ESSENTIA HEALTH DULUTH CLINIC MCL2CRED, 400 EAST THIRD STREET, DULUTH, MN 55805-1951
(218) 786-3146
(218) 722-8792
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R191403-0
MN
Other
Enumeration date
03/27/2018
Last updated
01/17/2019
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