Individual
JULIE LYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4510 77TH ST W, EDINA, MN 55435-5505
(952) 230-9100
(952) 926-3103
Mailing address
4510 77TH ST W, EDINA, MN 55435-5505
(952) 230-9100
(952) 926-3103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2186540
MN
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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