Whalio Doctors

NPI 1073923744

Lauren E Graveline, COTAL

Practitioner Other Specialist/Technologist Golden Valley, MN

Practice location

Address
7505 Country Club Dr, Golden Valley, MN 55427-4501
Phone
(763) 450-6902

Registered specialties (2)

Other Specialist/Technologist Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence 201924 (MN)
Specialist
Other Service Providers Taxonomy 174400000X Licence 201924 (MN)

Registry record

NPI
1073923744
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 May 2014
Record last updated
5 May 2014

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.