Individual
LORI MARIE AMBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 726-2890
(651) 726-2848
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 726-2890
(651) 726-2848
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116533
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116533
PHARMACIST LICENSE
MN
Enumeration date
06/16/2015
Last updated
06/16/2015
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