Graveline, Lauren E

Graveline, Lauren E is an sole proprietor health care provider with primary practice located at 7505 Country Club Dr , Golden Valley MN 55427-4501. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other. Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other is her primary health care specialty. Graveline, Lauren E can be contacted via phone (763) 450-6902.

Contact Information

Primary practice address
7505 Country Club Dr Golden Valley MN 55427-4501
Phone: (763) 450-6902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 201924 Minnesota
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 201924 Minnesota

Profile Details

NPI number 1073923744
LBN Legal business name Graveline, Lauren E
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2014
Last updated May 5th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073923744 NPPES
Minnesota Other 201924 STATE OF MINNESOTA

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