Individual
LAUREN TORKILSEN HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4151 WILLOWWOOD ST SE, PRIOR LAKE, MN 55372-4304
(952) 226-2600
Mailing address
6236 MALLORY LN, EDEN PRAIRIE, MN 55346-1423
(763) 438-1709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10856
MN
363AM0700X
Medical Physician Assistant
10856
MN
Other
Enumeration date
11/10/2010
Last updated
07/11/2024
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