Individual
LAURIE S. AZINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3366 OAKDALE AVENUE NORTH, SUITE 315, NORTH CLINIC, PA, ROBBINSDALE, MN 55422-2948
(763) 587-7900
(763) 587-7989
Mailing address
3366 OAKDALE AVENUE NORTH, SUITE 315, NORTH CLINIC, PA, ROBBINSDALE, MN 55422-2948
(763) 587-7900
(763) 587-7989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45649
MN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
45649
MN
Other
Enumeration date
04/14/2006
Last updated
08/10/2010
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