Individual
GLEN LORSHBOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16047 GRANGE RD NW, SHEVLIN, MN 56676-4510
(218) 766-7563
(218) 243-2724
Mailing address
16047 GRANGE RD NW, SHEVLIN, MN 56676-4510
(218) 766-7563
(218) 243-2724
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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