Individual
THERESA A LALONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5000
Mailing address
PO BOX 6002, GRAND FORKS, ND 58206-6002
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R25403
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00342885
MEDICARE RR
ND
Enumeration date
09/27/2006
Last updated
05/28/2008
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