Individual
JERRICA LANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-4082
Mailing address
7163 SUNSHINE DR, EDEN PRAIRIE, MN 55346-2755
(218) 230-8083
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
9195
MN
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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