Individual
LAURA A LATHROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13287 DOWNEY TRL, SAINT PAUL, MN 55124-5249
(952) 250-4333
(884) 421-1622
Mailing address
13287 DOWNEY TRL, SAINT PAUL, MN 55124-5249
(952) 250-4333
(884) 421-1622
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP1602
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H300231366
PTAN
MN
Enumeration date
04/11/2006
Last updated
11/10/2016
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