Individual
DR. LORI R TENENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4124 QUEBEC AVE N STE 207, NEW HOPE, MN 55427-1240
(763) 205-5733
(763) 205-2785
Mailing address
4124 QUEBEC AVE N STE 207, NEW HOPE, MN 55427-1240
(763) 205-5733
(763) 205-2785
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2018
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1BO81RO
BLUE CROSS
MN
Enumeration date
05/07/2007
Last updated
02/27/2012
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