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NPI Code Detail

MEDICARE: LORE A. QUINN NP

MEDICARE:   LORE A. QUINN  NP
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
1363LW0102XWomen's Health Nurse Practitioner925282MN
2363LW0102XWomen's Health Nurse Practitioner598-033WI

Other Identifiers

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

General Provider Information

NPI Number : 1477605418
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORE A. QUINN NP
Provider Business Mailing Address
First Line : 671 VANDALIA ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55114-1312
Country : US
Telephone Number : 651-698-2406
Fax Number :
Provider Business Practice Location Address
First Line : 671 VANDALIA ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55114-1312
Country : US
Telephone Number : 651-698-2406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 03/20/2026

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