Individual
LULZIM AXHIJAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1562 VIKING BLVD NE, EAST BETHEL, MN 55011-9402
(763) 450-5561
Mailing address
1562 VIKING BLVD NE, EAST BETHEL, MN 55011-9402
(763) 450-5561
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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