Individual
LORI ANN NIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
9401 PARKSIDE CIR, CHAMPLIN, MN 55316-2603
(612) 816-7984
Mailing address
9401 PARKSIDE CIR, CHAMPLIN, MN 55316-2603
(612) 816-7984
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
13465
MN
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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