Individual
LAUREN ELIZABETH LUSSENHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2270 FORD PKWY STE 200, SAINT PAUL, MN 55116-3412
(651) 696-5000
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73101
MN
Other
Enumeration date
04/26/2021
Last updated
08/19/2024
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