Individual
REENA PATEL LORNTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
13819 HANSON BLVD NW, ANDOVER, MN 55304-7608
(763) 572-5710
(763) 862-4490
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R168252-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005853000
—
MN
01
—
0704668
MEDICA
MN
01
—
1046227
PREFERRED ONE
MN
01
—
182473
UCARE MN
MN
01
—
2422246
AMERICA'S PPO
MN
01
—
733T3PA
BCBS OF MN
MN
Enumeration date
09/02/2006
Last updated
10/11/2012
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