Healthcare Provider Details
I. General information
NPI: 1407204118
Provider Name (Legal Business Name): LAURA D RHANEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/03/2016
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 1ST ST SW
ROCHESTER MN
55905-2502
US
IV. Provider business mailing address
PO BOX 860912
MINNEAPOLIS MN
55486-0912
US
V. Phone/Fax
- Phone: 507-284-2511
- Fax:
- Phone: 507-284-2511
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 30365 |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083X0100X |
| Taxonomy | Occupational Medicine Physician |
| License Number | 74022 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: