Provider Demographics
NPI:1609293661
Name:FONTANA, LAUREN (DO)
Entity Type:Individual
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First Name:LAUREN
Middle Name:
Last Name:FONTANA
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Gender:F
Credentials:DO
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Mailing Address - Street 1:420 DELAWARE STREET SE
Mailing Address - Street 2:MAIL CODE 250
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:812-219-7104
Mailing Address - Fax:612-676-4009
Practice Address - Street 1:909 FULTON ST SE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-4800
Practice Address - Country:US
Practice Address - Phone:612-273-8383
Practice Address - Fax:612-676-4009
Is Sole Proprietor?:No
Enumeration Date:2014-03-27
Last Update Date:2023-02-09
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Provider Licenses
StateLicense IDTaxonomies
MN67126207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease