Individual
BRANDI LAWLER-HEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 1ST AVE S, MINNEAPOLIS, MN 55404-2504
(612) 212-0565
Mailing address
2100 1ST AVE S, MINNEAPOLIS, MN 55404-2504
(612) 212-0565
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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