Most Relevant Information
Provider Data
| NPI Number: | 1003377664 |
| Provider Name: | LAUREN MACNEILL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2019 |
| Last Updated: | 08/31/2023 |
Provider Practice Location
14101 FAIRVIEW DR STE 420
BURNSVILLE
MN
553372539
Practice Location Phone/Fax
| Phone: | 9529933282 |
| Fax: |
Provider Mailing Location
8170 33RD AVE S # MS 21110Q
BLOOMINGTON
MN
554254516
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |