Carlson, Lori
Carlson, Lori is an individual health care provider with primary practice located at 250 S 4Th St Dhfs, Room 510, Minneapolis MN 55415-1335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Carlson, Lori can be contacted via phone (612) 673-3548.Contact Information
Primary practice address
250 S 4Th St Dhfs, Room 510
Minneapolis MN 55415-1335
Phone: (612) 673-3548
Fax: (612) 673-3866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 094598-7 | Minnesota |
Profile Details
| NPI number | 1114988318 |
|---|---|
| LBN Legal business name | Carlson, Lori |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114988318 | NPPES |
| Minnesota | Other | 12-03427 | MEDICA |
| Minnesota | MEDICAID | 251343900 | MEDICA |
| Minnesota | Other | 9L584CA | MEDICA |
| Minnesota | Other | HP19846 | MEDICA |
| Minnesota | Other | 923911015067 | MEDICA |
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