Provider Demographics
NPI:1275579583
Name:BILLINGS, JOANNE LAURETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:LAURETTE
Last Name:BILLINGS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:420 DELAWARE ST SE
Mailing Address - Street 2:MMC 276
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0341
Mailing Address - Country:US
Mailing Address - Phone:612-624-0999
Mailing Address - Fax:612-625-2174
Practice Address - Street 1:516 DELAWARE STREET SE
Practice Address - Street 2:UNIVERSITY OF MINNESOTA PH, PWB SECOND FLOOR, CLINIC 2A
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-626-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2014-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN36875207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN78R85BIOtherBCBS
MN127913OtherUCARE
MN48-00006OtherMEDICA CHOICE
MN48-00078OtherMEDICA PRIMARY
MNHP31263OtherHEALTHPARTNERS
MN046662000Medicaid
MN1024710OtherPREFERRED ONE
MN1053117OtherARAZ
MT0053781Medicaid
MT0053781Medicaid