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NPI Code Detail

MEDICARE: LAINEY LEE BRUNSON

MEDICARE: LAINEY LEE BRUNSON
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
1163W00000XRegistered Nurse2527693MN

General Provider Information

NPI Number : 1942145438
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAINEY LEE BRUNSON
Provider Business Mailing Address
First Line : 4801 VETERANS DR
Second Line :
City : SAINT CLOUD
State : MN
Zip : 56303-2015
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4801 VETERANS DR
Second Line :
City : SAINT CLOUD
State : MN
Zip : 56303-2015
Country : US
Telephone Number : 320-252-1670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ LAINEY LEE BRUNSON ” Practice Location

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