Individual
LAURA NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-6033
(763) 785-0720
Mailing address
8600 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-6033
(763) 785-0720
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120933
MN
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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