Lavell, Susan J

Lavell, Susan J is an individual health care provider with primary practice located at 401 Phalen Blvd , Saint Paul MN 55130-5302. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lavell, Susan J can be contacted via phone (651) 254-7870.

Contact Information

Primary practice address
401 Phalen Blvd Saint Paul MN 55130-5302
Phone: (651) 254-7870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R1171970 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2045 Minnesota

Profile Details

NPI number 1215907803
LBN Legal business name Lavell, Susan J
Credentials APRN, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Sep 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215907803 NPPES
Minnesota Other 5K123LA BCBS MN
Minnesota Other HP18165 BCBS MN
Minnesota Other 1017714 BCBS MN
Minnesota MEDICAID 904718200 BCBS MN
Minnesota Other 111465 BCBS MN
Minnesota Other 07-00900 BCBS MN
Minnesota Other 1069672 BCBS MN
Minnesota Other 21274 BCBS MN

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