Individual provider · NPI-1

Laurie S. Azine, D.O.

Internal Medicine, Geriatric Medicine · Robbinsdale, MN

NPI number1376507491
StatusActive
Last updated in NPPESAug 10, 2010

Details

NPI
1376507491
Entity type
Individual (NPI-1)
Name
Laurie S. Azine
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 14, 2006
Last updated
Aug 10, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0300X Internal Medicine, Geriatric Medicine45649MNYes
207R00000X Internal Medicine45649MN

Practice location

3366 Oakdale Avenue North
Suite 315, North Clinic, PA
Robbinsdale, MN 55422-2948

Phone 763-587-7900 · Fax 763-587-7989

Mailing address

3366 Oakdale Avenue North
Suite 315, North Clinic, PA
Robbinsdale, MN 55422-2948

Phone 763-587-7900 · Fax 763-587-7989

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