Individual
MICHELLE LHOTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3900 PARK NICOLLET BLVD, SAINT LOUIS PARK, MN 55416-2503
(952) 993-3150
Mailing address
8170 33RD AVE SOUTH, 21110Q, MINNEAPOLIS, MN 55430-1309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01107
WV
363A00000X
Physician Assistant
Primary
11609
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001807776
BLUE CROSS BLUE SHIELD
WV
01
—
1069730
WORKERS COMPENSATION
WV
Enumeration date
05/23/2006
Last updated
09/02/2016
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