Individual
LANE M SKALBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-7505
Mailing address
437 NEWTON AVE S, MINNEAPOLIS, MN 55405-2042
(612) 374-2351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
112872
MN
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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