LORA LEE E KOEPP


Address: 5 W Lake St, Minneapolis, MN 55408-3117
Phone: 6125459000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
20000365 MN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 887019500 05
MN BLUE CROSS BLUE SHIELD 40D83KO 01
MN MEDICA 12-01355 01

Office Location

Street Address 5 W LAKE ST
City MINNEAPOLIS
State MN
Zip Code 55408-3117

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MINNEAPOLIS
Zip Code 55408

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Dataset Information

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.

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