Individual
DR. LORA JEAN PRINC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6545 FRANCE AVE S, SUITE 540, EDINA, MN 55435-2131
(952) 927-4045
(952) 927-0867
Mailing address
6545 FRANCE AVE S, SUITE 540, EDINA, MN 55435-2131
(952) 927-4045
(952) 927-0867
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
47558
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630182700
—
MN
Enumeration date
09/27/2005
Last updated
02/20/2015
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