Individual
MRS. LAURA LEE BODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1570 OLSONVILLE RD, CARLTON, MN 55718-8112
(218) 384-9495
Mailing address
1570 OLSONVILLE RD, CARLTON, MN 55718-8112
(218) 384-9495
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0517674
MN
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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