Individual
LAUREN MICHELLE BERGER SCHLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(218) 786-8364
Mailing address
430 OXFORD ST, GRAND FORKS, ND 58202-6092
(651) 261-4747
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201019
ND
367500000X
Certified Registered Nurse Anesthetist
R38623
ND
Other
Enumeration date
07/10/2023
Last updated
10/17/2024
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