Provider Demographics
NPI:1972837706
Name:HEINMILLER, LAURA J (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:J
Last Name:HEINMILLER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3900 PARK NICOLLET BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-2503
Mailing Address - Country:US
Mailing Address - Phone:952-993-3150
Mailing Address - Fax:952-993-0288
Practice Address - Street 1:3900 PARK NICOLLET BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2503
Practice Address - Country:US
Practice Address - Phone:952-993-3150
Practice Address - Fax:952-993-0288
Is Sole Proprietor?:No
Enumeration Date:2009-09-26
Last Update Date:2019-05-29
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Provider Licenses
StateLicense IDTaxonomies
MN56910207W00000X, 207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology