Healthcare Provider Details
I. General information
NPI: 1750451399
Provider Name (Legal Business Name): TWIN CITIES NATURAL FAMILY PLANNING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
69 EXCHANGE ST W # 154N
SAINT PAUL MN
55102-1004
US
IV. Provider business mailing address
69 EXCHANGE ST W # 154N
SAINT PAUL MN
55102-1004
US
V. Phone/Fax
- Phone: 651-232-3088
- Fax: 651-232-3741
- Phone: 651-232-3088
- Fax: 651-232-3741
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0050X |
| Taxonomy | Non-Surgical Family Planning Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
SUZANNE
ELIZABETH
LEWIS
Title or Position: OFFICE MANAGER
Credential:
Phone: 651-232-3088