Individual
DR. LEO BOOKER LAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
(612) 273-4098
Mailing address
420 DELAWARE ST SE, MMC 284, MINNEAPOLIS, MN 55455-0341
(612) 626-5031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64874
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2016
Last updated
09/05/2019
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