LENA A IDRIS, Neonatal/Pediatrics BLOOMINGTON, MN

Contact Information

LENA A IDRIS

7524 W 101ST ST
BLOOMINGTON, MN 55438-2109

Phone: 612-703-9474
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Neonatal/Pediatrics	2279P3900X

Indicates primary specialty

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NPI Profile & details for LENA A IDRIS · (Female)

NPI #	`1154143428`
Status	Active
Credentials
Entity	Individual
Enumeration date	10/29/2024
Last updated	10/29/2024 - More than a year ago
Sole proprietor ¹	Yes
Identifiers	MN License # 4205
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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LENA A IDRISNeonatal/Pediatrics

Contact Information

Specialty

Neonatal/Pediatrics

NPI Profile & details for LENA A IDRIS · (Female)

Reviews for LENA A IDRIS

LENA A IDRIS
Neonatal/Pediatrics