Roberts, Laura Lynne

Roberts, Laura Lynne is an individual health care provider with primary practice located at 320 E Main St , Crosby MN 56441-1645. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Roberts, Laura Lynne can be contacted via phone (218) 546-8375.

Contact Information

Primary practice address
320 E Main St Crosby MN 56441-1645
Fax: (218) 546-4400
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9404 Minnesota

Profile Details

NPI number 1447234299
LBN Legal business name Roberts, Laura Lynne
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Dec 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447234299 NPPES
Minnesota MEDICAID 579110300

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