Koepp, Lora Lee E
Koepp, Lora Lee E is an individual health care provider with primary practice located at 5 W Lake St , Minneapolis MN 55408-3117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Koepp, Lora Lee E can be contacted via phone (612) 545-9000.Contact Information
Primary practice address
5 W Lake St
Minneapolis MN 55408-3117
Phone: (612) 545-9000
Fax: (612) 545-9049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 20000365 | Minnesota |
Profile Details
| NPI number | 1063452217 |
|---|---|
| LBN Legal business name | Koepp, Lora Lee E |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Nov 28th, 2007 - about 18 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 | 1063452217 | NPPES |
| Minnesota | Other | 12-01355 | MEDICA |
| Minnesota | Other | 40D83KO | MEDICA |
| Minnesota | MEDICAID | 887019500 | MEDICA |
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