Organization
TWIN CITIES PHYSICIANS PROFESSIONAL CORPORATION
Active
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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