Individual
LEA M FLOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP C
Contact information
Practice address
2500 FAIRWAY ST, DICKINSON, ND 58601-2639
(701) 456-4200
Mailing address
2972 108S AVE SW, DICKINSON, ND 58601-8004
(701) 456-9721
(419) 421-8435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R26888
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452997
—
ND
Enumeration date
01/13/2006
Last updated
02/06/2024
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