Individual provider · Type 1 NPI

Coralyn Mary Lass, LPN

Licensed Practical Nurse · Fergus Falls, MN

NPI number 1578887428 Active

Practice location

106 4th Avenue North
Fergus Falls, MN 56537-1034

Fax (218) 998-3187

Mailing address

2558 Little Rock Road
Sauk Rapids, MN 56379

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL-069172-3 (MN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1578887428

Coralyn Mary Lass, LPN's National Provider Identifier is 1578887428, issued on Mar 22, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fergus Falls, MN. The record was last updated on Mar 22, 2010.