Individual
ELLEN LORRAINE DORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-5091
Mailing address
PO BOX 113171, ANCHORAGE, AK 99511-3171
(907) 947-2155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
70272
MN
Other
Enumeration date
05/16/2019
Last updated
03/11/2022
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