Organization
ST. CLOUD PODIATRY CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN E LORE D.P.M. (PRESIDENT)
(320) 253-7533
Entity
Organization
Contact information
Practice address
17 7TH AVE S, SAINT CLOUD, MN 56301-4259
(320) 253-7533
(320) 654-8718
Mailing address
17 7TH AVE S, SAINT CLOUD, MN 56301-4259
(320) 253-7533
(320) 654-8718
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MN315
MN
Other
Enumeration date
01/10/2007
Last updated
10/22/2007
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