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Individual

LYNNE K STAKER

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
1407 W 4TH ST, RED WING, MN 55066-2108
(651) 267-5000
Mailing address
29308 LAKE AVENUE WAY, FRONTENAC, MN 55026-1047

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16516
MN

Other

Enumeration date
02/21/2006
Last updated
07/08/2007
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Product
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  • EDI platform