Healthcare Provider Details

I. General information

NPI: 1578487450
Provider Name (Legal Business Name): LAUREN TREMPE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 12TH ST SW
FOREST LAKE MN
55025-1482
US

IV. Provider business mailing address

200 12TH ST SW
FOREST LAKE MN
55025-1482
US

V. Phone/Fax

Practice location:
  • Phone: 651-464-9742
  • Fax:
Mailing address:
  • Phone: 651-464-9742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23637-40
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number127473
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: