Individual
DR. MATTHEW E LORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4801 HIGHWAY 61 N STE 300, WHITE BEAR LAKE, MN 55110-2753
(651) 429-2299
(651) 429-6630
Mailing address
4801 HIGHWAY 61 N STE 300, WHITE BEAR LAKE, MN 55110-2753
(651) 429-2299
(651) 429-6630
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11674
MN
1223P0300X
Periodontics
1223PO300X
MN
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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