Deboer, Laresa G
Deboer, Laresa G is an individual health care provider with primary practice located at 500 S Maple St , Waconia MN 55387-1752. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Deboer, Laresa G can be contacted via phone (952) 442-2191.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 43130 | Minnesota |
Profile Details
NPI number | 1316993231 |
---|---|
LBN Legal business name | Deboer, Laresa G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 25th, 2006 |
Last updated | Dec 3rd, 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 | 1316993231 | NPPES |
Other | 39-01795 | MEDICA EMERG | |
Other | HP32799 | MEDICA EMERG | |
Other | 1027863 | MEDICA EMERG | |
Other | 054M5DE | MEDICA EMERG | |
Other | 140370 | MEDICA EMERG |
Popular Providers
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Hubbard, Bruce
500 S Maple St , Waconia MN 55387-1752 -
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500 S Maple St , Waconia MN 55387-1752 -
Herold, Matthew E
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Dundee, Joseph
500 S Maple St , Waconia MN 55387-1752 -
Drill-Mellum, Laurie
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Larson, Lisa
500 S Maple St , Waconia MN 55387-1752