Individual
LORRAINE JEAN GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 MADISON AVE, SUITE 400A, MANKATO, MN 56001-5473
(507) 625-1811
Mailing address
1230 E MAIN ST, PO BOX 8674, MANKATO, MN 56001-5066
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
31282
MN
207N00000X
Dermatology Physician
69941-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416824100
—
MN
Enumeration date
03/29/2006
Last updated
10/04/2018
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