Individual
MRS. LANE MARIE MAGNUSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN PHN
Contact information
Practice address
560 W FIR AVE, FERGUS FALLS, MN 56537-1364
(218) 998-8379
(218) 998-8352
Mailing address
516 W CHERRY AVE, FERGUS FALLS, MN 56537-1338
(218) 998-8379
(218) 998-8352
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
R 101445-1
MN
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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