Individual
LAURIE LEABHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
(651) 241-3503
Mailing address
8675 VALLEY CREEK ROAD, ALLINA MEDICAL CLINIC, WOODBURY, MN 55125
(651) 241-3000
(651) 241-3503
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R1176506
MN
364S00000X
Clinical Nurse Specialist
Primary
18394201
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106238C154
UCARE
MN
01
—
411425197
CIGNA BEHAVIORAL HEALTH
MN
01
—
45F57LE
BCBS
MN
05
—
558555400
—
MN
01
—
6266267
MEDICA CHOICE
FM
01
—
890000897
RR MEDICARE
MN
01
—
HP17641
HEALTHPARTNERS
MN
Enumeration date
11/29/2006
Last updated
03/07/2023
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