Individual
LYNN GLESNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 10TH AVE S, MINNEAPOLIS, MN 55404-1309
(612) 337-7410
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20984
MN
Other
Enumeration date
06/06/2006
Last updated
07/18/2007
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