Individual
AMIE JEAN LAUDERBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2447 CHETS LN SE, BEMIDJI, MN 56601-5126
(218) 766-6856
Mailing address
2447 CHETS LN SE, BEMIDJI, MN 56601-5126
(218) 766-6856
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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