Individual
LAUREN ELIZABETH MITTLESTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 PINE TREE DR, ARDEN HILLS, MN 55112-3754
(651) 635-8000
Mailing address
3585 OWASSO ST APT 303, SHOREVIEW, MN 55126-3558
(847) 650-0739
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
01/03/2023
Last updated
04/09/2025
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