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Individual

LAURA LEE GILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, CNP

Contact information

Practice address
530 3RD ST NW, ELK RIVER, MN 55330-1445
(763) 587-4800
(763) 587-4845
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
84131
MN
363L00000X
Nurse Practitioner
Primary
5894
MN
363LF0000X
Family Nurse Practitioner
5894
MN

Other

Enumeration date
07/24/2006
Last updated
05/19/2021
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