Individual
NICOLE MARIE LAPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14655 GALAXIE AVE, APPLE VALLEY, MN 55124-8597
(952) 250-4559
Mailing address
14655 GALAXIE AVE, APPLE VALLEY, MN 55124-8597
(952) 250-4559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
02/05/2019
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