Katherine Elizabeth Lazenby, PT
Physical Therapist in Shoreview, MN. Individual provider (NPI-1).
NPI number1598967390
StatusActive
Last updated in NPPESSep 25, 2019
Details
- NPI
- 1598967390
- Entity type
- Individual (NPI-1)
- Name
- Katherine Elizabeth Lazenby
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2007
- Last updated
- Sep 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 8232 | MN | Yes |
| 225100000X | Physical Therapist | 9517 | CO |
Other names
- Katherine Elizabeth Haegele (Former Name)
Practice location
404 Highway 96 WSuite E
Shoreview, MN 55126-1901
Phone 651-765-4103 · Fax 651-765-4108
Mailing address
7581 9th St NSte 100
Oakdale, MN 55128-6635
Phone 651-748-4338
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All 20 Physical Therapist providers in Shoreview · All 536 providers in Shoreview
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