Individual
LUCY WHITNEY STANDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18525 MAPLE RIDGE RD, WAYZATA, MN 55391-2629
(612) 750-8085
Mailing address
18525 MAPLE RIDGE RD, WAYZATA, MN 55391-2629
(612) 750-8085
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40618
MN
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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