Individual provider · NPI-1

Lorick Elene Andersen, MD

Ophthalmology · Minneapolis, MN

NPI number1821444910
StatusActive
Last updated in NPPESOct 19, 2022

Details

NPI
1821444910
Entity type
Individual (NPI-1)
Name
Lorick Elene Andersen
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 9, 2016
Certification date
Oct 11, 2022
Last updated
Oct 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology68251MNYes

Practice location

715 S 8th St
Minneapolis, MN 55404-1210

Phone 612-873-6963

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623

Phone 612-873-3000

Other practice locations

701 Park Ave
Minneapolis, MN 55415-1623

Phone 612-873-3000

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