Doctor Name: | LAUREN ELIZABETH TORKILSEN |
NPI Number: | 1750682589 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 10856 |
Business Practice Address: | 23671 Saint Francis Blvd Nw Saint Francis, MN - 550709802 |
Business Phone Number: | 7635023900 |
Business Fax Number: | |
Mailing Address: | 14574 64th Ave N, MAPLE GROVE |
State: | MN |
Postal Code: | 553114108 |
Phone Number: | 7634381709 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2010 |
NPI Last Update Date: | 03/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 10856 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |