Provider Demographics
NPI:1508939042
Name:LINDGREN, LORI G W (CFNP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:G W
Last Name:LINDGREN
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 W CENTRAL ENTRANCE
Mailing Address - Street 2:QCARE
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55811-5448
Mailing Address - Country:US
Mailing Address - Phone:218-249-4987
Mailing Address - Fax:218-249-4989
Practice Address - Street 1:619 W CENTRAL ENTRANCE
Practice Address - Street 2:QCARE
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55811-5448
Practice Address - Country:US
Practice Address - Phone:218-249-4987
Practice Address - Fax:218-249-4989
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1113747363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily