Individual
KHIN LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1148 ARCADE ST, SAINT PAUL, MN 55106-2642
(651) 776-9910
(651) 776-9181
Mailing address
1148 ARCADE ST, SAINT PAUL, MN 55106-2642
(651) 776-9910
(651) 776-9181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 193997-6
MI
163WH0200X
Home Health Registered Nurse
R 193997-6
MI
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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