Individual
SAMANTHA JEAN MCGOUGH LAMERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
347 SMITH AVE N STE 203, SAINT PAUL, MN 55102-2388
(651) 241-7733
(651) 241-7798
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
08/12/2022
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