Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 63027 | MN |
NPI | 1326204942 |
---|---|
Provider Name | Dr. Lori Weinberg |
First Address | Saint Paul, MN 55114-2001 |
Second Address | Coon Rapids, MN 55433-2774 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2008 |
Last Update Date | 24/04/2019 |