Individual
LAUREN TAYLOR GATES-TANZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
31719
MN
208200000X
Plastic Surgery Physician
Primary
71950
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
03/26/2021
Last updated
08/19/2022
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