Lawrence, Jill M

Lawrence, Jill M is an individual health care provider with primary practice located at 2665 W 78Th St , Chanhassen MN 55317-4502. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Lawrence, Jill M can be contacted via phone (952) 835-4512.

Contact Information

Primary practice address
2665 W 78Th St Chanhassen MN 55317-4502
Phone: (952) 835-4512
Fax: (888) 425-0398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7278 Minnesota

Profile Details

NPI number 1043248511
LBN Legal business name Lawrence, Jill M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 19th, 2021 - about 4 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 1043248511 NPPES
Minnesota Other 072770 OPTUM
Minnesota Other HP39431 OPTUM
Minnesota MEDICAID 487475700 OPTUM
Minnesota Other 6404273 OPTUM
Minnesota Other 200K5LA OPTUM

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