Laurence Edward Winter, M.D.
Individual provider Active NPI Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Loretto, MN
NPI 1457508319 · NPPES record last updated Aug 22, 2008
Key facts
- NPI
- 1457508319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X
- License
- 18475 (MN)
- Practice address
- 8100 Schendel Lake Dr
Loretto, MN 55357-9590 - Phone
- (763) 498-7781
- NPI assigned
- Aug 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18475 | MN | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 18475 | MN | Yes |
Addresses
Primary practice location
8100 Schendel Lake Dr
Loretto, MN 55357-9590
Mailing address
8100 Schendel Lake Dr
Loretto, MN 55357-9590
Phone (763) 498-7781
Other providers in Loretto, MN
- Drauzong Soung
- Mai Yer Soung
- Vinland National Center
- Heather Joy Volker
- Rachel Elizabeth White Robinson
All providers in Loretto, MN · Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2008. 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.