Individual
LUCY NEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5320 HYLAND GREENS DR, BLOOMINGTON, MN 55437
(952) 993-2400
(952) 993-2522
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64305
MN
207Q00000X
Family Medicine Physician
R-10334
IA
Other
Enumeration date
06/09/2015
Last updated
06/10/2021
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