Individual
MISS LORI SUZANNE KURSZEWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
60 E. MARIE AVE, SUITE 115, WEST ST PAUL, MN 55118
(612) 239-6330
(651) 455-2766
Mailing address
4296 EVERGREEN DR, VADNAIS HEIGHTS, MN 55127-7825
(612) 239-6330
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1714
MN
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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