Individual
MRS. LAURIE PAULINE STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN ARNP
Contact information
Practice address
13998 MAPLE KNOLL WAY # LL101, MAPLE GROVE, MN 55369-7004
(651) 348-8851
(763) 657-1370
Mailing address
2999 TROSETH RD, ROSEVILLE, MN 55113-1045
(651) 633-3727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1593943
MN
363LF0000X
Family Nurse Practitioner
Primary
R1593943
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847080400
—
MN
Enumeration date
09/19/2005
Last updated
09/25/2020
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