Provider Demographics
NPI:1326156043
Name:PRICE, JANET LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:LYNN
Last Name:PRICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2925 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1321
Mailing Address - Country:US
Mailing Address - Phone:612-262-5000
Mailing Address - Fax:612-236-2505
Practice Address - Street 1:500 OSBORNE RD NE
Practice Address - Street 2:SUITE 255
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-2774
Practice Address - Country:US
Practice Address - Phone:736-236-2500
Practice Address - Fax:763-236-2505
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2020-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN31176207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN08F87PROtherBCBS OF MN
MN6603855OtherMEDICA URGENT CARE
MNHP19900OtherHEALTHPARTNERS
MN1000848OtherPREFERRED ONE
MN4113916OtherAETNA INS
MN0120323OtherMEDICA NUMBER
MN035090700Medicaid
MN107314OtherUCARE MN
MN21534OtherAMERICA'S PPO
MN08F87PROtherBCBS OF MN
MN107314OtherUCARE MN
MNHP19900OtherHEALTHPARTNERS