Individual
LAUREN M BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CNP
Contact information
Practice address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 828-2880
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2486723
MN
Other
Enumeration date
06/26/2024
Last updated
06/18/2025
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