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Organization

TWIN CITIES PHYSICIANS PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LORA ELANE SHIRAR MD (OWNER)
(763) 267-8701
Entity
Organization

Contact information

Practice address
1415 LILAC DR N STE 190, GOLDEN VALLEY, MN 55422
(763) 267-8701
Mailing address
1415 LILAC DR N STE 190, GOLDEN VALLEY, MN 55422-4544
(763) 267-8701

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary
363AM0700X
Medical Physician Assistant
2360
MN
363L00000X
Nurse Practitioner

Other

Enumeration date
10/10/2015
Last updated
11/03/2025
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