Individual
LORI ANN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
626 MAIN ST N, CAMBRIDGE, MN 55008-1271
(763) 689-8984
(763) 689-1170
Mailing address
626 MAIN ST N, CAMBRIDGE, MN 55008-1271
(763) 689-8984
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
A683998000
MN
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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