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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAUREN E GRAVELINE, COTA/L

Active Sole Proprietor

LAUREN E GRAVELINE, COTA/L is a Specialist/Technologist, Surgical healthcare provider located in GOLDEN VALLEY, Minnesota. NPI 1073923744 is currently active in the NPPES registry. Verify at CMS.

Specialist/Technologist, Surgical · GOLDEN VALLEY, MN

Registration Details

NPI Number
1073923744
Provider Type
Individual
Gender
Female
NPI Issued
May 5, 2014 (12.237444295821 yrs)
Last Updated
May 5, 2014
Licenses
201924 (MN)
201924 (MN)
Sole Proprietor
Yes

Practice Information

Address
7505 COUNTRY CLUB DR
GOLDEN VALLEY, MN, 554274501
Browse MN providers · Browse ZIP 55427
Phone
7634506902
Primary Specialty
Specialist/Technologist, Surgical
246Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.