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General NPI Number Information
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NPI Number | 1619497476
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Entity Type | Individual
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Provider Name | LAURA I. LENZ FNP
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Gender | Female
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 08/25/2024
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Provider Practice Location Address
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Address Line | 415 17TH AVE N
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City | HOPKINS
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State | MN
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Zip | 55343-7224
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Country | US
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Telephone | 952-912-3553
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Fax | 952-912-3553
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Provider Business Mailing Address
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Address Line | 5221 PORTLAND AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55417-1721
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Country | US
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Telephone | 612-267-5924
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Fax | 952-912-3553
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1913808
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2017009107
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP5215
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License Number State | MN
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