Individual
MIGUEL LORENZO BUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4510 77TH ST W, EDINA, MN 55435-5505
(952) 826-8475
(952) 922-2525
Mailing address
735 COTTAGE AVE E, SAINT PAUL, MN 55106-1708
(651) 398-5949
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2530156
MN
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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