Provider Demographics
NPI:1831158781
Name:SLINGS, LAURA LENEE (MD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LENEE
Last Name:SLINGS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:LENEE
Other - Last Name:KUIPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3596 LINDEN AVE STE B4
Mailing Address - Street 2:
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-4994
Mailing Address - Country:US
Mailing Address - Phone:651-505-8815
Mailing Address - Fax:651-372-0332
Practice Address - Street 1:3596 LINDEN AVE STE B4
Practice Address - Street 2:
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-4994
Practice Address - Country:US
Practice Address - Phone:651-505-8815
Practice Address - Fax:651-372-0332
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA34341207Q00000X
MN45768207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN080020936Medicare PIN
H55884Medicare UPIN