Individual
LORI J LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(865) 342-8900
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6005
(612) 630-8242
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
44043
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T938LA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
06/19/2006
Last updated
03/05/2025
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