Organization Active NPI

The Saint Paul Lung Clinic

  • Acute Care Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1497940860
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R-157185-5 Issued in MN
Legal business name
THE SAINT PAUL LUNG CLINIC
Practice address
225 Smith Ave N Ste 300
Saint Paul, MN 55102-2592
Phone
(651) 726-6200
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tom Lorentzen
Title
Ceo
Phone
(651) 726-6210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X R-157185-5 MN Primary

Addresses

Primary practice location

225 Smith Ave N Ste 300
Saint Paul, MN 55102-2592

Mailing address

225 Smith Ave N Ste 300
Saint Paul, MN 55102-2592
Phone (651) 726-6200

National Provider Directory

National Provider Directory
Tax ID family
Pulmonary Critical Care Associates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1497940860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SMITH AVE N STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022592",
            "telephone_number": "651-726-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SMITH AVE N STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022592",
            "telephone_number": "651-726-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SAINT PAUL LUNG CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "LORENTZEN",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-726-6210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MN",
            "license": "R-157185-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.