Individual
LAUREN KLEIN MRACHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
400 STINSON BLVD FL 2, PROVIDER ENROLLMENT REV MGMT, MINNEAPOLIS, MN 55413-2614
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
68111
MN
2080P0207X
Pediatric Hematology & Oncology Physician
DR.0060107
CO
Other
Enumeration date
04/01/2015
Last updated
01/24/2022
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