NPI 1003028648
Raquel Lyn Bosacker, LPN
Practice location
- Address
- 106 North 4th Ave, Fergus Falls, MN 56537-1034
- Phone
- (218) 998-3778
- Fax
- (218) 998-3187
- Mailing address
- 161 Elm St, Tracy, MN 56175-1532
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1003028648
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 May 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.