Cannon, Lois E

Cannon, Lois E is an individual health care provider with primary practice located at 1665 Utica Ave S , Saint Louis Park MN 55416-3474. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Cannon, Lois E can be contacted via phone (952) 541-2500.

Contact Information

Primary practice address
1665 Utica Ave S Saint Louis Park MN 55416-3474
Phone: (952) 541-2500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1025194 Minnesota

Profile Details

NPI number 1093780397
LBN Legal business name Cannon, Lois E
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Oct 31st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093780397 NPPES
Minnesota MEDICAID 843325900

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