Individual
KELLI LAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 153436-8
MN
Other
Enumeration date
04/16/2014
Last updated
07/12/2023
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