Most Relevant Information
Provider Data
| NPI Number: | 1003426230 |
| Provider Name: | SEAN DEANE LEJONVARN CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 7663 |
Most Important Dates
| Enumeration Date: | 08/03/2020 |
| Last Updated: | 04/03/2023 |
Provider Practice Location
1200 CHASKA CREEK WAY STE 200
CHASKA
MN
553182749
Practice Location Phone/Fax
| Phone: | 7632321209 |
| Fax: |
Provider Mailing Location
1936 MERIDIAN CURV
CARVER
MN
553154418
Provider Mailing Phone/Fax
| Phone: | 7632321209 |
| Fax: |