Lookup NPI Numbers from the NPI Registry
NPI Profile for LORAN R POTTRUCK in MINNETONKA, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
School |
363LS0200X | 50 | Nurse Practitioner |
| NPI # | 1114423738 |
|
| Status | Active | |
| Credentials | NP-C (Nurse Practitioner - Certified) | |
| Entity | Individual | |
| Enumeration date | 04/03/2018 | |
| Last updated | 09/11/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LORAN R POTTRUCK, NP-C