Laura Lee Stang, PA-C

NPI #1790311934 in Sartell, Minnesota

Provider Information

NPI Number: 1790311934
Entity Type: Individual
Name: Laura Lee Stang, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 19, 2020
Last Updated: Mar 19, 2020

Practice Location

Address: 2351 CONNECTICUT AVE S STE 200
City: Sartell
State: Minnesota
ZIP Code: 56377-2477
Phone: (320) 259-1411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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