Healthcare Provider Details

I. General information

NPI: 1164486346
Provider Name (Legal Business Name): KATHRYN LORCHER PYZDROWSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 PENN AVENUE NORTH
MINNEAPOLIS MN
55411
US

IV. Provider business mailing address

1313 PENN AVENUE NORTH
MINNEAPOLIS MN
55411
US

V. Phone/Fax

Practice location:
  • Phone: 612-302-4600
  • Fax: 612-302-4870
Mailing address:
  • Phone: 612-302-4600
  • Fax: 612-302-4870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number31343
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: