Individual
MRS. LAUREN MARIE DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-2651
(952) 993-2631
Mailing address
5980 143RD LN NW, RAMSEY, MN 55303-5616
(651) 307-9772
(952) 993-2631
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R 180090-8
MN
Other
Enumeration date
02/25/2014
Last updated
06/17/2014
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