Coralyn Mary Lass LPN

NPI 1578887428 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1578887428
Gender Female
Enumeration Date 03/22/2010
Last Updated 03/22/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
106 4TH AVENUE NORTH
FERGUS FALLS MN, 56537-1034, US
Phone (218) 998-3778
Fax (218) 998-3187
Business Location
2558 LITTLE ROCK ROAD
SAUK RAPIDS MN, 56379, US
Phone (320) 292-1939
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Minnesota
License Number L-069172-3
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According to our database, Coralyn Mary Lass LPN NPI is 1578887428, taxonomy code is 164W00000X and license number is L-069172-3, license state is located at Minnesota. Coralyn Mary Lass LPN physically located at 106 4th Avenue North, Fergus Falls MN, 56537-1034. NPI Number Coralyn Mary Lass LPN has the Individual type.

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1578887428 NPI number is provided on an as is basis without warranty of any kind. 1578887428 is maintained by the National Plan & Provider Enumeration System. The contents of Coralyn Mary Lass LPN are for informational purposes only.