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Individual

TATIANA LAMPAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407
(612) 863-4000
Mailing address
25929 IPAVA AVE, LAKEVILLE, MN 55044-7839

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202306
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5995196
MN
Enumeration date
12/22/2019
Last updated
12/22/2019
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