Individual
ADRIANNA LEE RACKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2360 N BROADWAY, ROCHESTER, MN 55906-4065
(507) 282-0142
Mailing address
2360 N BROADWAY, ROCHESTER, MN 55906-4065
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
8093239
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8093239
LPN
MN
Enumeration date
12/20/2017
Last updated
12/20/2017
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