Individual
LORI A. GOEHRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15051 GALAXIE AVE, APPLE VALLEY, MN 55124-6987
(651) 428-6838
Mailing address
15051 GALAXIE AVE, APPLE VALLEY, MN 55124-6987
(651) 428-6838
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 141530-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578863916
—
MN
Enumeration date
11/02/2010
Last updated
10/27/2020
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