Individual
LAUREN SECRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 JACKSON ST, MS 11102F, SAINT PAUL, MN 55101
(651) 254-6953
Mailing address
640 JACKSON ST, MS 11102F, SAINT PAUL, MN 55101-2502
(651) 254-6953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
08/21/2018
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