Susan Stephanie Gustafson, LPN
NPI #1205214350 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1205214350
- Entity Type
- Individual
- Name
- Susan Stephanie Gustafson, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 9, 2015
- Last Updated
- May 9, 2015
Practice Location
- Address
- 7951 250TH ST
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-8370
- Phone
- (651) 231-2048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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