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Search › Minnesota › 363LA2200X

Andrea Berube

NPI 1205223989 · on the registry since 2015

Practice

Address
502 Division St S
Northfield, MN 55057
Phone
(612) 616-7731
Organisation at this address
The Lux Medspa
Modern Therapeutics Pllc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 1000 4th St Sw, Mason City, IA
  • 1575 20th St Nw, Faribault, MN

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
367500000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota