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Contact Information

LIFETREE CLINIC
14585 GRAND AVE
SUITE 206
BURNSVILLE, MN55306-5719
 Phone: 952-435-7349
 Fax: 952-417-6159
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Adult Health

364SA2200X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for LIFETREE CLINIC · (Female)

NPI Number 1972860526
Status Active
Credentials
Entity Individual
Enumeration date 04/20/2012
Last updated 04/17/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 0082
  • MN License # 1529
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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