Individual
LAUREN KRISTINE PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5585 LA CENTRE AVE STE 500, ALBERTVILLE, MN 55301-4686
(763) 497-7730
Mailing address
5585 LACENTRE AVE, SUITE 500, ALBERTVILLE, MN 55301
(763) 497-7730
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13598
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D13598
MINNESOTA BOARD OF DENTISTRY
MN
Enumeration date
07/14/2015
Last updated
01/10/2020
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