Individual
KATHERINE ELIZABETH LAZENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
404 HIGHWAY 96 W, SUITE E, SHOREVIEW, MN 55126-1901
(651) 765-4103
(651) 765-4108
Mailing address
7581 9TH ST N, STE 100, OAKDALE, MN 55128-6635
(651) 748-4338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8232
MN
225100000X
Physical Therapist
9517
CO
Other
Enumeration date
06/04/2007
Last updated
09/25/2019
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