Healthcare Provider Details

I. General information

NPI: 1467743856
Provider Name (Legal Business Name): NATHALIE LENORE FRANCOISE LECHAULT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17705 HUTCHINS DR STE 100
MINNETONKA MN
55345-4145
US

IV. Provider business mailing address

17705 HUTCHINS DR STE 250
MINNETONKA MN
55345-4103
US

V. Phone/Fax

Practice location:
  • Phone: 952-401-8300
  • Fax: 952-401-8242
Mailing address:
  • Phone: 952-401-8300
  • Fax: 952-401-8243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number57591
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: