Lynn Marie Bjornnes, PTA CLT-LANA
Individual provider Active NPI Specialist · Roseville, MN
NPI 1700097409 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700097409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 2960 Snelling Ave N
Roseville, MN 55113-2458 - Phone
- (651) 633-6299
- Fax
- (651) 633-6404
- NPI assigned
- May 24, 2007
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
2960 Snelling Ave N
Roseville, MN 55113-2458
Mailing address
3081 Evelyn St
Roseville, MN 55113-1214
Phone (651) 633-3984
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.