Organization
THE SAINT PAUL LUNG CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM LORENTZEN (CEO)
(651) 726-6210
Entity
Organization
Contact information
Practice address
225 SMITH AVE N STE 300, SAINT PAUL, MN 55102-2592
(651) 726-6200
Mailing address
225 SMITH AVE N STE 300, SAINT PAUL, MN 55102-2592
(651) 726-6200
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R-157185-5
MN
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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