Individual provider · Type 1 NPI

Lauren Mallak

Family Nurse Practitioner · Burnsville, MN

NPI number 1396465738 Active

Practice location

14000 Fairview Dr
Burnsville, MN 55337-5713

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X9427 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1396465738

Lauren Mallak's National Provider Identifier is 1396465738, issued on Aug 29, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Burnsville, MN. The record was last updated on Oct 14, 2022.