Individual provider · Type 1 NPI

Lora Lee E. Koepp, PNP

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1063452217 Active

Practice location

5 W Lake St
Minneapolis, MN 55408-3117

Call (612) 545-9000 Map

Fax (612) 545-9049

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X20000365 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1063452217

Lora Lee E. Koepp, PNP's National Provider Identifier is 1063452217, issued on Jun 7, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 28, 2007.