Individual
MRS. CARRIE LEE ELLIOTT-PLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21839 ALMON DR., LEWISTON, MN 55952
(507) 951-0509
Mailing address
21839 ALMON DR., LEWISTON, MN 55952
(507) 951-0509
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-190079-8
MN
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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