Healthcare Provider Details

I. General information

NPI: 1134683907
Provider Name (Legal Business Name): LAUREN NICOLE LEHMKUHL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2019
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 7TH ST W
SAINT PAUL MN
55102-3828
US

IV. Provider business mailing address

1026 7TH ST W
SAINT PAUL MN
55102-3828
US

V. Phone/Fax

Practice location:
  • Phone: 651-758-9500
  • Fax:
Mailing address:
  • Phone: 651-758-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6394
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: