Individual
LORI KLABUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
202 E GREENFIELD LN STE 100, BISMARCK, ND 58503-6597
(701) 223-7822
(701) 223-7844
Mailing address
202 E GREENFIELD LN STE 100, BISMARCK, ND 58503-6597
(701) 223-7822
(701) 223-7844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0051
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464771
—
ND
01
—
PAC0051
LICENCE
ND
Enumeration date
07/18/2006
Last updated
09/24/2020
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