Individual
DR. LINA BANEVICIUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5320 HYLAND GREENS DR, BLOOMINGTON, MN 55437-3934
(952) 993-2400
Mailing address
PO BOX 1309, MS21110Q, MINNEAPOLIS, MN 55440-1309
(952) 993-2400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036112257
IL
207R00000X
Internal Medicine Physician
Primary
61993
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112257
—
IL
Enumeration date
11/22/2005
Last updated
07/21/2022
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