Individual
BALEY LYNN IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2000 PAUL BUNYAN DR NW, BEMIDJI, MN 56601-5603
(218) 751-6380
Mailing address
2000 PAUL BUNYAN DR NW, BEMIDJI, MN 56601-5603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125195
MN
Other
Enumeration date
07/21/2021
Last updated
12/09/2024
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