Individual
LAUREL L HAYCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7901 XERXES AVE S STE 116, BLOOMINGTON, MN 55431-1200
(952) 888-2024
(952) 888-3985
Mailing address
7901 XERXES AVE S STE 116, BLOOMINGTON, MN 55431-1200
(952) 888-2024
(952) 888-3985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208103
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019885400
—
MN
Enumeration date
12/19/2006
Last updated
04/04/2011
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