Cederberg, Laurel E

Cederberg, Laurel E is an individual health care provider with primary practice located at 2500 Como Ave , Saint Paul MN 55108-1460. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cederberg, Laurel E can be contacted via phone (651) 641-6200.

Contact Information

Primary practice address
2500 Como Ave Saint Paul MN 55108-1460
Fax: (651) 641-6295
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39471 Minnesota

Profile Details

NPI number 1073588273
LBN Legal business name Cederberg, Laurel E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Mar 11th, 2021 - 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 1073588273 NPPES
Minnesota MEDICAID 124023400

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