Larson-Peters, Shelly Lea
Larson-Peters, Shelly Lea is an individual health care provider with primary practice located at 11091 Ulysses St Suite 100, Blaine MN 55434-4238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Larson-Peters, Shelly Lea can be contacted via phone (612) 879-1000.Contact Information
Primary practice address
11091 Ulysses St Suite 100
Blaine MN 55434-4238
Phone: (612) 879-1000
Fax: (612) 879-9116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 50897 | Minnesota |
Profile Details
| NPI number | 1336333509 |
|---|---|
| LBN Legal business name | Larson-Peters, Shelly Lea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2007 |
| Last updated | Jul 30th, 2023 - about 3 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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