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Individual

LEA TIARE MINTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, IBCLC

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
(808) 536-7315
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
RN-71425
HI
367A00000X
Advanced Practice Midwife
APRN-1439
HI
367A00000X
Advanced Practice Midwife
Primary
CNM-551
MN

Other

Enumeration date
10/04/2012
Last updated
03/25/2025
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