Jacobson, Lana Rae

Jacobson, Lana Rae is an individual health care provider with primary practice located at 1401 Nw 9Th Street , Grand Rapids MN 55744. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jacobson, Lana Rae can be contacted via phone (218) 327-4961.

Contact Information

Primary practice address
1401 Nw 9Th Street Grand Rapids MN 55744
Phone: (218) 327-4961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 120342-4 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0257857-22 Minnesota

Profile Details

NPI number 1275883266
LBN Legal business name Jacobson, Lana Rae
Credentials FAMILY NURSE PRACTIT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2012
Last updated Oct 26th, 2020 - about 6 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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