Individual
LOEY LILLIENCRANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1278 DOE CIR, SAINT PAUL, MN 55110-7613
(651) 262-3917
Mailing address
1278 DOE CIR, SAINT PAUL, MN 55110-7613
(651) 262-3917
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/30/2017
Last updated
04/30/2017
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