Individual
LORI GOEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
1805 FORD AVE N, SUITE 200, GLENCOE, MN 55336-1363
(320) 864-3185
Mailing address
1805 FORD AVE N, SUITE 200, GLENCOE, MN 55336-1363
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R1023691
MN
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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