Lacy M Doppler, RN
Individual provider Active NPI Registered Nurse · Fairmont, MN
NPI 1326487331 · NPPES record last updated Jun 24, 2013
Key facts
- NPI
- 1326487331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 201169-9 (MN)
- Practice address
- 2490 Albion Ave
Fairmont, MN 56031-3301 - Phone
- (952) 412-0173
- NPI assigned
- Jun 24, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201169-9 | MN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201169-9 | MN | Yes |
Addresses
Primary practice location
2490 Albion Ave
Fairmont, MN 56031-3301
Mailing address
2490 Albion Ave
Fairmont, MN 56031-3301
Other providers in Fairmont, MN
- Shaylee Ranee Dallager
- Lindsay Ann Dalluge
- Karmen Dather
- Laura Emily Dekok
- Julie Ann Dodds
- Dr Reed E Gethmann PA
- Carolyn Drevlow
- Susan Duerksen
- Brandon Scott Dugan
- Dulcimer Medical Center PA
All providers in Fairmont, MN · Registered Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.