Individual
LAURI ELIZABETH GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2092 CASE AVE E, SAINT PAUL, MN 55119
(651) 747-6586
Mailing address
2092 CASE AVE E, SAINT PAUL, MN 55119-3309
(651) 747-6586
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L056345-3
MN
Other
Enumeration date
05/29/2014
Last updated
09/06/2019
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