Individual
LAUREEN KAY BOLLMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2436
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518110576
—
MN
01
—
264M1NO
BLUE CROSS BLUE SHIELD OF MN
MN
01
—
3AF68BO
BLUE CROSS BLUE SHIELD OF MN
MN
01
—
64-09720
MEDICA
MN
01
—
HP106313
HEALTHPARTNERS
MN
Enumeration date
11/03/2008
Last updated
08/19/2013
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