Individual
LAURIE A SENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-6259
(701) 234-7334
Mailing address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-6259
(701) 234-7334
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
R24409
ND
367500000X
Certified Registered Nurse Anesthetist
Primary
239605-5
MN
367500000X
Certified Registered Nurse Anesthetist
R24409
ND
Other
Enumeration date
11/01/2006
Last updated
10/21/2016
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