Individual
LAUREN MALLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9427
MN
Other
Enumeration date
08/29/2022
Last updated
10/14/2022
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