Lonnie Polkow Moch FNP-C

NPI 1760815013 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1760815013
Gender Female
Enumeration Date 08/09/2013
Last Updated 12/05/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
203 4TH ST NW
BAGLEY MN, 56621-8305, US
Phone (218) 694-6501
Business Location
PO BOX 2168
FARGO ND, 58107-2168, US
Phone (701) 234-2119
Taxonomy Code 363LF0000X
License State Minnesota
License Number 215497-0
Remove 1760815013 NPI Number

According to our database, Lonnie Polkow Moch FNP-C NPI is 1760815013, taxonomy code is 363LF0000X and license number is 215497-0, license state is located at Minnesota. Lonnie Polkow Moch FNP-C physically located at 203 4th St Nw, Bagley MN, 56621-8305. NPI Number Lonnie Polkow Moch FNP-C has the Individual type.

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1760815013 NPI number is provided on an as is basis without warranty of any kind. 1760815013 is maintained by the National Plan & Provider Enumeration System. The contents of Lonnie Polkow Moch FNP-C are for informational purposes only.