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Individual

LAUREN M. LINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP, CNP

Contact information

Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
CNP4047
MN
363LN0000X
Neonatal Nurse Practitioner
R196172-4
MN

Other

Enumeration date
08/28/2015
Last updated
08/28/2015
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