Individual
MS. DIANE HELEN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
701 DELLWOOD ST S, CAMBRIDGE, MN 55008-1920
(763) 689-8700
(763) 688-7941
Mailing address
1603 W OLD SHAKOPEE RD, BLOOMINGTON, MN 55431-3065
(952) 767-3294
(952) 767-0018
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2009006246
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R 153275-5
MN
Other
Enumeration date
08/11/2009
Last updated
03/11/2021
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