LYDIA M KOERITZ

PARK NICOLLET CLINIC

Dr LYDIA M KOERITZ is a female medical professional, specializing in Nurse Practitioner. She graduated in 2011.

Contact

PARK NICOLLET CLINIC

2001 BLAISDELL AVE
MINNEAPOLIS
MN
554042414

Tel: 9529938000

LYDIA M KOERITZ Information

Npi 1578859518
Pac Id 8426229220
Professional Enrollment Id I20110928000337
Last Name KOERITZ
First Name LYDIA
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PARK NICOLLET CLINIC
Group Practice Pac Id 7911819438
Number Of Group Practice Members 1315
Line 1 Street Address 2001 BLAISDELL AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MINNEAPOLIS
State MN
Zip Code 554042414
Phone Number 9529938000
Hospital Affiliation Ccn 1 240053
Hospital Affiliation Lbn 1 PARK NICOLLET METHODIST HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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