Individual
LANNY HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1164 FRIBERG AVE, FERGUS FALLS, MN 56537-1580
(218) 739-4489
Mailing address
23178 W WALL LAKE BND, FERGUS FALLS, MN 56537-8296
(218) 205-0382
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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