Individual
MISS LAURA JANE FOLLETT-LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5775 WAYZATA BLVD STE 255, MINNEAPOLIS, MN 55416-1275
(952) 525-4450
(952) 525-1560
Mailing address
4418 XERXES AVE S, MINNEAPOLIS, MN 55410-1417
(612) 998-9057
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10230
MN
Other
Enumeration date
03/28/2007
Last updated
01/24/2019
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