TARA A PERTTULA

LORENZ CLINIC LLC

Dr TARA A PERTTULA is a female medical professional, specializing in Clinical Social Worker. She graduated in 2014.

Contact

LORENZ CLINIC LLC

16180 HASTINGS AVE SE
SUITE 205
PRIOR LAKE
MN
553729228

Tel: 9524434600

TARA A PERTTULA Information

Npi 1780083287
Pac Id 2860741840
Professional Enrollment Id I20180824000108
Last Name PERTTULA
First Name TARA
Middle Name A
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LORENZ CLINIC LLC
Group Practice Pac Id 7810282845
Number Of Group Practice Members 8
Line 1 Street Address 16180 HASTINGS AVE SE
Line 2 Street Address SUITE 205
Marker Of Address Line 2 Suppression
City PRIOR LAKE
State MN
Zip Code 553729228
Phone Number 9524434600
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
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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