Lavell, Susan J
Lavell, Susan J is an individual health care provider with primary practice located at 401 Phalen Blvd , Saint Paul MN 55130-5302. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lavell, Susan J can be contacted via phone (651) 254-7870.Contact Information
Primary practice address
401 Phalen Blvd
Saint Paul MN 55130-5302
Phone: (651) 254-7870
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | R1171970 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2045 | Minnesota |
Profile Details
NPI number | 1215907803 |
---|---|
LBN Legal business name | Lavell, Susan J |
Credentials | APRN, DNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Sep 27th, 2023 - about last year |
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 | 1215907803 | NPPES |
Minnesota | Other | 5K123LA | BCBS MN |
Minnesota | Other | HP18165 | BCBS MN |
Minnesota | Other | 1017714 | BCBS MN |
Minnesota | MEDICAID | 904718200 | BCBS MN |
Minnesota | Other | 111465 | BCBS MN |
Minnesota | Other | 07-00900 | BCBS MN |
Minnesota | Other | 1069672 | BCBS MN |
Minnesota | Other | 21274 | BCBS MN |
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