LORA LEE E KOEPP (NPI# 1063452217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063452217 |
Entity Type | Individual |
Full Name | LORA LEE E KOEPP |
Credential | PNP |
Practice Address |
5 W Lake St Minneapolis MN 55408-3117 |
Mailing Address |
701 Park Ave Minneapolis MN 55415-1623 |
Practice Telephone | 6125459000 |
Practice Fax Number | 6125459049 |
Mailing Telephone | 6128736005 |
Mailing Fax Number | 6126308242 |
Enumeration Date | 2006-06-07 |
Last Update Date | 2007-11-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
20000365 | MN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 887019500 | 05 | |
MN | BLUE CROSS BLUE SHIELD | 40D83KO | 01 |
MN | MEDICA | 12-01355 | 01 |
Street Address |
5 W LAKE ST |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55408-3117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558314278 | Dana Rae Barr | Family Medicine | 5 W Lake St, Minneapolis, MN 55408-3117 | 2006-05-17 |
1902038334 | Hennepin County Medical Center | General Acute Care Hospital | 5 W Lake St, Minneapolis, MN 55408-3117 | 2009-08-19 |
1104056274 | Janmeet Sandhu | Student in an Organized Health Care Education/Training Program | 5 W Lake St, Family Medical Center, Minneapolis, MN 55408-3117 | 2009-07-22 |
1639308596 | Ajit Sandhar | Student in an Organized Health Care Education/Training Program | 5 W Lake St, Minneapolis, MN 55408-3117 | 2009-07-13 |
1154558062 | Nazmeen Khan | Student in an Organized Health Care Education/Training Program | 5 W Lake St, Minneapolis, MN 55408-3117 | 2009-06-18 |
1811101959 | Heather M Meehan | Pharmacist | 5 W Lake St, Minneapolis, MN 55408-3117 | 2007-05-09 |
1295805711 | Suzanne Leroy | Nurse Practitioner | 5 W Lake St, Minneapolis, MN 55408-3117 | 2006-11-09 |
1750317632 | Michelle Schabert | Specialist | 5 W Lake St, Minneapolis, MN 55408-3117 | 2006-06-23 |
1194761544 | Paul Erickson | Specialist | 5 W Lake St, Minneapolis, MN 55408-3117 | 2006-06-22 |
1346286374 | Anne Zachman | Nurse Practitioner | 5 W Lake St, Minneapolis, MN 55408-3117 | 2006-06-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
Find all providers in zip 55408 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720407497 | Halley Gail Sage | Nurse Practitioner | 2525 Chicago Ave S., Minneapolis, MN 55404 | 2014-04-10 |
1457509523 | Rebecca Olson | Nurse Practitioner | 2525 Chicago Avenue, Minneapolis, MN 55404-4518 | 2008-09-03 |
1912108341 | Nancy Novakoske Hoogenhous | Nurse Practitioner | 200 Oak St Se, Ste 160, Minneapolis, MN 55455-2009 | 2007-05-31 |
1902988421 | Alexis Maciej | Nurse Practitioner | 424 Haravard St Se, Suite M100 Masonic Cancet Center, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-10-20 |
1669568176 | Jill Lunsford Lee | Nurse Practitioner | 420 Delaware St., Mmc 484, Minneapolis, MN 55455 | 2006-10-04 |
1477561991 | Mary Jordan | Nurse Practitioner | 2001 Bloomington Avenue S, Community-university Health Care Center, Minneapolis, MN 55404-3074 | 2006-08-03 |
1457327686 | Judith A Kralewski | Nurse Practitioner | 250 S 4th St, Room 510, Minneapolis, MN 55415-1335 | 2006-02-27 |
1689644908 | Tambra R Dahlheimer | Nurse Practitioner | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 | 2006-01-26 |
1881207462 | Brianna Marie Gloe | Nurse Practitioner | 2530 Chicago Ave Ste 550, Minneapolis, MN 55404-4293 | 2020-08-25 |
1447861067 | Charlotte Minnema | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-08-17 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55408 |
Please comment or provide details below to improve the information on LORA LEE E KOEPP.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.