Individual
LORI JEAN GRAMBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4100 LEXINGTON AVE N, SHOREVIEW, MN 55126-4003
(715) 410-9385
Mailing address
4100 LEXINGTON AVE N, SHOREVIEW, MN 55126-4003
(715) 410-9385
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
1284472
MN
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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