Individual
LYNNE MARLENE AMUNDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4441 WOODGATE PT, EAGAN, MN 55122-2448
(651) 681-8042
Mailing address
4441 WOODGATE PT, EAGAN, MN 55122-2448
(651) 681-8042
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R97384-9
MN
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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