Individual
LYDIA OGUTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2253 CHESHIRE CIR, SAINT PAUL, MN 55112-1520
(763) 447-9443
Mailing address
2253 CHESHIRE CIR, SAINT PAUL, MN 55112-1520
(763) 447-9443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 203992-7
MN
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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