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Individual

MARILYN LAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
3700 FOSS RD, MINNEAPOLIS, MN 55421-4512
(763) 689-5385
Mailing address
1864 JULIET AVE, SAINT PAUL, MN 55105-1709

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1854
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
397L1BE
BCBS
MN
01
6404435
MEDICA
MN
01
HP45800
HEALTH PARTNERS
MN
Enumeration date
09/28/2006
Last updated
07/09/2007
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