Provider Demographics
NPI:1013278977
Name:ZORN, ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:ZORN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:347 SMITH AVE N STE 505
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2387
Mailing Address - Country:US
Mailing Address - Phone:651-220-6260
Mailing Address - Fax:651-220-7777
Practice Address - Street 1:347 SMITH AVE N STE 505
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2387
Practice Address - Country:US
Practice Address - Phone:512-206-2606
Practice Address - Fax:651-220-7777
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN592962080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty