Individual
LEAH LEMPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
523 N 3RD ST, MEDICAL STAFF OFFICE, BRAINERD, MN 56401-3054
(218) 828-2880
Mailing address
523 N 3RD ST, MEDICAL STAFF OFFICE, BRAINERD, MN 56401-3054
(218) 828-2880
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1964048
MN
363LG0600X
Gerontology Nurse Practitioner
R1964048
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1964048
MN BOARD OF NURSING
MN
Enumeration date
05/27/2015
Last updated
05/27/2015
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