Individual
LYDIA SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13180
MN
390200000X
Student in an Organized Health Care Education/Training Program
PENDING
MN
Other
Enumeration date
08/28/2019
Last updated
10/04/2019
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