Individual
LEO LYNN ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN.FNP-BC
Contact information
Practice address
8982 35TH ST N, LAKE ELMO, MN 55042-9200
(651) 779-9768
Mailing address
8982 35TH ST N, LAKE ELMO, MN 55042-9200
(651) 779-9768
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 113240-1
MN
363LF0000X
Family Nurse Practitioner
Primary
R 113240-1
MN
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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