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NPI Code Detail

MEDICARE: LONZALE RAMSEY JR. M.D

MEDICARE: LONZALE RAMSEY JR. M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician62609MN
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1023463015
Entity Type Code : Individual
Provider Name (Legal Business Name) : LONZALE RAMSEY JR. M.D
Provider Business Mailing Address
First Line : 8170 33RD AVE S # 211110Q
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55425-4516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2426 W BROADWAY AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-1735
Country : US
Telephone Number : 952-993-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2016
Last Update Date : 11/06/2023

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