Healthcare Provider Details

I. General information

NPI: 1477605418
Provider Name (Legal Business Name): LORE A. QUINN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

671 VANDALIA ST
SAINT PAUL MN
55114-1312
US

IV. Provider business mailing address

671 VANDALIA ST
SAINT PAUL MN
55114-1312
US

V. Phone/Fax

Practice location:
  • Phone: 651-698-2406
  • Fax:
Mailing address:
  • Phone: 651-698-2406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number925282
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number598-033
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: