Organization · Type 2 NPI

Lifespark Medical Group, PA

Adult Health Nurse Practitioner · St. Louis Park, MN

NPI number 1437930278 Active

Practice location

5320 W 23rd St Ste 130
St. Louis Park, MN 55416-1670

Fax (952) 345-8771

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician 207QA0505XNone listed
Adult Health Nurse Practitioner Primary 363LA2200XNone listed

Adult Health Nurse Practitioner: Definition to come...

24 other providers at this address

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About NPI 1437930278

Lifespark Medical Group, PA's National Provider Identifier is 1437930278, issued on Oct 9, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis Park, MN. The record was last updated on Oct 9, 2023.