Engebretson, Lanice Elizabeth

Engebretson, Lanice Elizabeth is an individual health care provider with primary practice located at 404 W Fountain St , Albert Lea MN 56007-2437. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Engebretson, Lanice Elizabeth can be contacted via phone (507) 373-2384.

Contact Information

Primary practice address
404 W Fountain St Albert Lea MN 56007-2437
Phone: (507) 373-2384
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R 090896-6 Minnesota

Profile Details

NPI number 1548240658
LBN Legal business name Engebretson, Lanice Elizabeth
Credentials RN CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Aug 25th, 2017 - about 7 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 1548240658 NPPES
Minnesota MEDICAID 093042300

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