Individual
MRS. LIA MARIE HAGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 23RD ST NE, SUITE 1080, WILLMAR, MN 56201-6605
(320) 231-7860
(320) 231-7888
Mailing address
6197 KALENDA CT NE, APT 209, ALBERTVILLE, MN 55301-9608
(320) 231-7860
(320) 231-7888
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
220339-7
MN
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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