Kocovsky, Lane R

Kocovsky, Lane R is an individual health care provider with primary practice located at 15245 Bluebird St Nw , Andover MN 55304-3538. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Kocovsky, Lane R can be contacted via phone (763) 587-4688.

Contact Information

Primary practice address
15245 Bluebird St Nw Andover MN 55304-3538
Phone: (763) 587-4688
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ01169000 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11225 Minnesota

Profile Details

NPI number 1912579996
LBN Legal business name Kocovsky, Lane R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2021
Last updated Jul 19th, 2024 - about 2 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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