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NPI Code Detail

MEDICARE: ELIZABETH LYNN LAUER DPT

MEDICARE: ELIZABETH LYNN LAUER DPT
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
1225100000XPhysical Therapist9375MN

General Provider Information

NPI Number : 1548693815
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH LYNN LAUER DPT
Provider Business Mailing Address
First Line : 10631 JAMES CIR
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55431-4157
Country : US
Telephone Number : 612-790-1259
Fax Number :
Provider Business Practice Location Address
First Line : 1250 W BROADWAY AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-2533
Country : US
Telephone Number : 612-668-2121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2013
Last Update Date : 12/16/2025

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