Individual
LINDSEY KOTERBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-1000
Mailing address
8038 SPRING LAKE LN, SHAKOPEE, MN 55379-8529
(952) 356-6370
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5132
MN
363LG0600X
Gerontology Nurse Practitioner
5132
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5132
—
MN
Enumeration date
04/28/2017
Last updated
07/21/2022
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