Individual
OLIVIA ROSE LOPAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 RICHARD AVE STE 200, HERMANTOWN, MN 55811-3309
(218) 520-3410
Mailing address
924 E 6TH ST APT 2, DULUTH, MN 55805-3823
(218) 969-6375
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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