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Individual

DR. LETICIA PERONDI LUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6500 EXCELSIOR BLVD, SUITE4-820, ST LOUIS PARK, MN 55426-4702
(952) 993-2750
(952) 993-0300
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
107536
MN

Other

Enumeration date
02/24/2007
Last updated
03/10/2021
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