Individual
DR. LANA JANE DIRKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
824 N 11TH ST, MONTEVIDEO, MN 56265-1629
(320) 269-6435
Mailing address
824 N 11TH ST, MONTEVIDEO, MN 56265-1629
(320) 269-6435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
58748
MN
Other
Enumeration date
04/25/2013
Last updated
06/28/2016
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