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DR. STEPHANIE RAE LANTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
20 5TH ST SE, COOK, MN 55723-9702
(218) 666-5941
Mailing address
3115 RAPS POINT TRL, COOK, MN 55723-8889
(612) 270-0364

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
6034
MN

Other

Enumeration date
07/28/2018
Last updated
07/28/2018
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