Active NPI
Laurie S. Azine, D.O.
- Geriatric Medicine (Internal Medicine) Physician
- Robbinsdale, MN
National Provider Identifier
1376507491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 45649
- Practice address
- 3366 Oakdale Avenue North
Suite 315, North Clinic, PA
Robbinsdale, MN 55422-2948 - Phone
- (763) 587-7900
- Fax
- (763) 587-7989
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 45649 | MN | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 45649 | MN | Primary |
Addresses
Primary practice location
3366 Oakdale Avenue North
Suite 315, North Clinic, PA
Robbinsdale, MN 55422-2948
Mailing address
3366 Oakdale Avenue North
Suite 315, North Clinic, PA
Robbinsdale, MN 55422-2948
Phone (763) 587-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1376507491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3366 OAKDALE AVENUE NORTH",
"address_2": "SUITE 315, NORTH CLINIC, PA",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222948",
"telephone_number": "763-587-7900",
"fax_number": "763-587-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3366 OAKDALE AVENUE NORTH",
"address_2": "SUITE 315, NORTH CLINIC, PA",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222948",
"telephone_number": "763-587-7900",
"fax_number": "763-587-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZINE",
"first_name": "LAURIE",
"middle_name": "S.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "45649",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MN",
"license": "45649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.