Individual provider · Type 1 NPI
Melissa Katusky Lor, CNP
Adult Health Nurse Practitioner · Minneapolis, MN
NPI number
1255773172
Active
Practice location
800 E 28th St
Minneapolis, MN 55407-3799
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | R-180483-6 (MN) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2760 (MN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1255773172
Melissa Katusky Lor, CNP's National Provider Identifier is 1255773172, issued on Jul 19, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 5, 2024.