Individual
LAUREN RENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2165 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-2798
(952) 967-5520
Mailing address
2165 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-2707
(952) 967-5520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12246
MN
363LP2300X
Primary Care Nurse Practitioner
209.030443
IL
Other
Enumeration date
10/25/2024
Last updated
01/17/2025
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