Individual
LORI LEE CLELAND
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 3RD ST NW, MAIL STOP 39400A, ELK RIVER, MN 55330-1445
(763) 712-6000
(763) 712-6591
Mailing address
81002 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-5790
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1083631
MN
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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