Jennifer Lais
Adult Health Nurse Practitioner in Minneapolis, MN(View on Map)
Full Name
Jennifer Lais
NPI Number
1508253857
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/23/2015
Specialties
(Taxonomies)Code
363LA2200X
363LG0600X
163W00000X
Primary Taxonomy
Yes
No
No
Licenses
State
Minnesota
North Dakota
License Number
R 205488-9
50549
Contact
Information
Purpose
Mailing
Location
Address
18136 211TH AVE NW
1 VETERANS DR
City
Big Lake
Minneapolis
State
MN
MN
Postal Code
55309-9642
55417-2309
Country
US
US
Telephone Number
(763) 489-8055
(612) 467-3285
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/29/2022