Lolita Thomas Bruce
Physician Assistant in Minneapolis, MN. Individual provider (NPI-1).
NPI number1396929311
StatusActive
Last updated in NPPESMay 24, 2012
Details
- NPI
- 1396929311
- Entity type
- Individual (NPI-1)
- Name
- Lolita Thomas Bruce
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2007
- Last updated
- May 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA04817 | TX | Yes |
Practice location
920 2nd Ave S Ste 400Minneapolis, MN 55402-3318
Phone 612-225-1538
Mailing address
920 2nd Ave S Ste 400Minneapolis, MN 55402-3318
Phone 612-225-1538
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