Individual
LUCINDA DALEY JOLSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11211 LIVE OAK DR, MINNETONKA, MN 55305-2585
(612) 703-0055
Mailing address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 626-5900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1847709
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
7602
MN
Other
Enumeration date
05/29/2019
Last updated
06/13/2024
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