Individual
LORRAINE ELIZABETH ANGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
860 ARCADE ST, SAINT PAUL, MN 55106-3852
(651) 772-9757
(651) 772-9959
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 222-1816
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1191
MN
Other
Enumeration date
10/06/2008
Last updated
07/24/2009
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