Lori Lynn Defrance, | |
400 E 3rd St, Duluth, MN 55805-1951 | |
(218) 786-8364 | |
Not Available |
Full Name | Lori Lynn Defrance |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 400 E 3rd St, Duluth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235167933 | NPI | - | NPPES |
914295500 | Medicaid | MN | |
31490900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 32852 (Minnesota) | Primary |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Mailing Address | Practice Location Address |
---|---|
Lori Lynn Defrance, 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Lori Lynn Defrance, 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 |
Michael Albert Bronson, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-3400 | |
Nancy Joyce Dronen, Pediatrics Medicare: Medicare Enrolled Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-3400 | |
Megan Browning Baldes, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. Gabrielle Zimbric Hester, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555 | |
Dr. Sarah M Frenning, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 420 E 1st St, Duluth, MN 55805 Phone: 218-786-8364 | |
Jerome Edward Kwako, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Ross William Perko, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364 |