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
Phone: (218) 546-8375
Fax: (218) 546-4400
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447234299 | NPPES |
| Minnesota | MEDICAID | 579110300 |
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