Individual
LYDIA M HOUSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 E 117TH ST, BURNSVILLE, MN 55337-1269
(612) 444-3000
(612) 444-9000
Mailing address
2428 E 117TH ST, BURNSVILLE, MN 55337-1269
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2155157
MN
363LF0000X
Family Nurse Practitioner
Primary
12227
MN
Other
Enumeration date
03/26/2024
Last updated
02/10/2025
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