Individual
MISS LARA MARY SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1102 W 3RD ST APT 2, DULUTH, MN 55806-2307
(218) 591-5214
Mailing address
1102 W 3RD ST APT 2, DULUTH, MN 55806-2307
(218) 591-5214
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
818862
MN
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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