Individual
LU ANN RUNKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPA
Contact information
Practice address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
(952) 993-7169
(952) 993-0300
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
(952) 993-7169
(952) 993-0300
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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