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NPI Code Detail

MEDICARE: DR. LORENE FREEHILL MD

MEDICARE: DR. LORENE FREEHILL MD
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
1208000000XPediatrics Physician42880MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11201045OTHERMNMEDICA
2129839OTHERMNUCARE
333G49FROTHERMNBLUE CROSS
4CP9041024667OTHERMNPREFERRED ONE

General Provider Information

NPI Number : 1134191901
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORENE FREEHILL MD
Provider Business Mailing Address
First Line : 17705 HUTCHINS DR
Second Line : SUITE 101
City : MINNETONKA
State : MN
Zip : 55345-4145
Country : US
Telephone Number : 952-401-8300
Fax Number :
Provider Business Practice Location Address
First Line : 17705 HUTCHINS DR
Second Line : SUITE 101
City : MINNETONKA
State : MN
Zip : 55345-4145
Country : US
Telephone Number : 952-401-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 07/09/2007

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Directions to “ DR. LORENE FREEHILL MD” Practice Location

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