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NPI Code Detail

MEDICARE: MRS. LAVINA MAE WESTERLUND RN,MA

MEDICARE:  MRS. LAVINA MAE WESTERLUND  RN,MA
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
1163WP0808XPsychiatric/Mental Health Registered NurseR057712-2MN

General Provider Information

NPI Number : 1285752428
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAVINA MAE WESTERLUND RN,MA
Provider Business Mailing Address
First Line : 3300 OAKDALE AVE N
Second Line :
City : ROBBINSDALE
State : MN
Zip : 55422-2926
Country : US
Telephone Number : 763-520-1396
Fax Number :
Provider Business Practice Location Address
First Line : 3300 OAKDALE AVE N
Second Line :
City : ROBBINSDALE
State : MN
Zip : 55422-2926
Country : US
Telephone Number : 763-520-1396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 12/07/2025

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Directions to “ MRS. LAVINA MAE WESTERLUND RN,MA” Practice Location

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