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NPI Code Detail

MEDICARE: DR. LAUREL A CUSHING M.D.

MEDICARE: DR. LAUREL A CUSHING M.D.
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
1207RI0200XInfectious Disease Physician0101257099VA
2207RI0200XInfectious Disease Physician46340MN

General Provider Information

NPI Number : 1659579324
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREL A CUSHING M.D.
Provider Business Mailing Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 612-262-9000
Fax Number :
Provider Business Practice Location Address
First Line : 2800 CHICAGO AVE STE 250
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1355
Country : US
Telephone Number : 612-863-4096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2007
Last Update Date : 04/30/2024

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Directions to “ DR. LAUREL A CUSHING M.D.” Practice Location

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