MEDICARE: LOIS A KUBITSCHEK GNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	R110940-5	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003900424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOIS A KUBITSCHEK GNP

Provider Business Mailing Address
First Line	:	2925 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1321
Country	:	US
Telephone Number	:	612-262-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 SMITH AVE N STE 500
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55102-2545
Country	:	US
Telephone Number	:	651-292-0007
Fax Number	:	651-241-2740

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	03/11/2021

Similar Medicare Providers

1699729574 — ANUJA SHARMA M.D.
Practice Location Address:

225 SMITH AVE N STE 501
SAINT PAUL, MN
55102-2545

Practice Phone: 651-726-6200
Practice Fax: 651-726-6201

1356542211 — DR. JOSHUA COHEN D.O.
Practice Location Address:

225 SMITH AVE N STE 501
SAINT PAUL, MN
55102-2545

Practice Phone: 651-726-6200
Practice Fax:

1033313127 — JODI DANIELLE GERDES M.D.
Practice Location Address:

225 SMITH AVE N STE 500
SAINT PAUL, MN
55102-2545

Practice Phone: 651-292-0007
Practice Fax:

1720255367 — KATHERINE GRACE ESSE MD
Practice Location Address:

255 SMITH AVE N , SUITE 500
ST. PAUL, MN
55102-2545

Practice Phone: 651-241-6550
Practice Fax: 651-241-6586

1447571187 — DAVID A TEETERS MD
Practice Location Address:

225 SMITH AVE N STE 501
SAINT PAUL, MN
55102-2545

Practice Phone: 651-726-6200
Practice Fax: 651-726-6201

1588929079 — ALLINA HEALTH SYSTEM
Practice Location Address:

225 SMITH AVE N STE 500
SAINT PAUL, MN
55102-2545

Practice Phone: 651-292-0007
Practice Fax:

Directions to “ LOIS A KUBITSCHEK GNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.