Individual
LUANN ELIZABETH WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
240 WILLOW ST., TYLER, MN 56178-0240
(507) 247-5921
(507) 247-5184
Mailing address
240 WILLOW ST., TYLER, MN 56178-0240
(507) 247-5921
(507) 247-5184
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9146
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363716600
—
MN
Enumeration date
05/19/2006
Last updated
02/09/2016
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