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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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