Free National NPI Number Registry

Laura Ellen Hart

Home > Laura Ellen Hart

 

NPI Number Detailed Information

Provider Information:

Name: Laura Ellen Hart
Gender: F
Provider License Number If Given: R098456

NPI Information:

NPI: 1720072234
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 1/19/2009

Provider Business Mailing Address:

Address: 4436 VINCENT AVE S
Minneapolis, MN 55410
Phone Number: 6129200207
Fax Number:

Provider Business Practice Location Address:

Address: 12450 WAYZATA BLVD SUITE 215 RIDGE PLAZA
Minnetonka, MN 55305
Phone Number: 9525466866
Fax Number: 9525120038

Provider Taxonomy:

Primary: 363LF0000X
Secondary (if any):
State: MN

Top Doctors in MN