Individual
LAUREN MARY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1021 BANDANA BLVD E STE 100, SAINT PAUL, MN 55108-5109
(651) 241-9700
(651) 241-9678
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66539
MN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
66539
MN
Other
Enumeration date
03/28/2018
Last updated
01/24/2023
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