Individual
JEAN O'MALLEY-LAURSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
124 ELTON HILLS LN NW, ROCHESTER, MN 55901-3567
(507) 282-1009
Mailing address
515 AGNES ST, OWATONNA, MN 55060-3029
(507) 455-2416
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0373
MN
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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