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NPI Code Detail

MEDICARE: LAURA A PRAEGER MD

MEDICARE: LAURA A PRAEGER 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
1207R00000XInternal Medicine Physician45280MN

General Provider Information

NPI Number : 1861453292
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA A PRAEGER MD
Provider Business Mailing Address
First Line : 2800 CAMPUS DR STE 44
Second Line :
City : PLYMOUTH
State : MN
Zip : 55441-2669
Country : US
Telephone Number : 612-870-7711
Fax Number : 612-870-1666
Provider Business Practice Location Address
First Line : 2800 CAMPUS DR STE 44
Second Line :
City : PLYMOUTH
State : MN
Zip : 55441-2669
Country : US
Telephone Number : 612-870-7711
Fax Number : 612-870-1666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 08/09/2023

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Directions to “ LAURA A PRAEGER MD” Practice Location

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