Provider Demographics
NPI:1871739524
Name:VONBEHREN, LORI J (BS, CFA)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:J
Last Name:VONBEHREN
Suffix:
Gender:F
Credentials:BS, CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9552 YUKON CIR S
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55438-1645
Mailing Address - Country:US
Mailing Address - Phone:952-942-5432
Mailing Address - Fax:
Practice Address - Street 1:9552 YUKON CIR S
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55438-1645
Practice Address - Country:US
Practice Address - Phone:952-942-5432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-31
Last Update Date:2008-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant