Individual
DR. LAURA MICHELLE NILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
Mailing address
8170 33RD AVE S # 21110, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2013018502
MO
2080S0010X
Pediatric Sports Medicine Physician
Primary
62719
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2010
Last updated
06/12/2023
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