Individual
KELLY LOUISE LANZATELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1729 MARKET BLVD, HASTINGS, MN 55033-1254
(651) 438-2135
Mailing address
13807 GUILD AVE, APPLE VALLEY, MN 55124-7654
(651) 402-1613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121105
MN
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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