Individual
PA ZIAB LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 JOHNSON PKWY STE A1, SAINT PAUL, MN 55106-3655
(651) 646-0028
Mailing address
1001 JOHNSON PKWY STE A1, SAINT PAUL, MN 55106-3655
(651) 646-0028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
07/08/2024
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