Individual
MARY BETH LARDIZABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
280 SMITH AVE N STE 450, SAINT PAUL, MN 55102-2481
(651) 241-5959
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
39116
MN
Other
Enumeration date
05/11/2006
Last updated
03/11/2021
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