Individual
ELISSA LOUKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(651) 254-3456
Mailing address
3315 53RD AVE N APT 203, BROOKLYN CENTER, MN 55429-3444
(715) 338-1448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13993
MN
Other
Enumeration date
02/05/2022
Last updated
12/04/2025
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