Individual
MRS. LAURIE J. FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4040 COON RAPIDS BLVD NW # 100, COON RAPIDS, MN 55433-2522
(763) 236-9500
Mailing address
920 2ND AVE S, MINNEAPOLIS, MN 55402-3318
(612) 225-1538
(612) 234-4623
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R094416-6
MN
363LF0000X
Family Nurse Practitioner
R094416-6
MN
Other
Enumeration date
07/19/2006
Last updated
03/13/2009
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