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Individual

LAUREL ELIZABETH GARRETT STEPHENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4762
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
107606
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
58465
MN
207RP1001X
Pulmonary Disease Physician
107606
MN
207RP1001X
Pulmonary Disease Physician
58465
MN

Other

Enumeration date
05/23/2008
Last updated
04/18/2019
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