LORA LEE E KOEPP PNP NPI 1063452217

NPI Information

NPI: 1063452217
Provider Name: LORA LEE E KOEPP, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
5 W LAKE ST
MINNEAPOLIS, MN
ZIP 55408
Phone: (612) 545-9000
Get Directions

Lora Lee E Koepp, PNP is a pediatrics nurse practitioner in Minneapolis, MN. Lora Lee E Koepp, PNP NPI is 1063452217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5 W LAKE ST
MINNEAPOLIS, MN
ZIP 55408-117
Phone: (612) 545-9000
Fax: (612) 545-9049

The enumeration date for this NPI number is 6/7/2006 and was last updated on 11/28/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	20000365	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500001478	MEDICARE OSCAR/CERTIFICATION	MINNESOTA
2	887019500	MEDICAID	MINNESOTA
3	500003851	MEDICARE OSCAR/CERTIFICATION	MINNESOTA
4	12-01355	OTHER	MINNESOTA	MEDICA
5	P21047	MEDICARE UPIN	MINNESOTA
6	40D83KO	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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