Individual
LUL HERSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W TRAVELERS TRL, SUITE 11, BURNSVILLE, MN 55337-2550
(952) 594-9605
Mailing address
201 W TRAVELERS TRL, SUITE 11, BURNSVILLE, MN 55337-2550
(952) 594-9605
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/09/2014
Last updated
03/09/2014
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