LORA LEE E KOEPP PNP
NPI 1063452217
Nurse Practitioner - Pediatrics in Minneapolis, MN

Active since June 07, 2006
5 W LAKE ST, MINNEAPOLIS, MN 55408(612) 545-9000(612) 545-9049 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lora Lee E Koepp Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORA LEE E KOEPP PNP (NPI 1063452217) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (20000365) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1063452217
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLORA LEE E KOEPPCredential: PNP
Location Address5 W LAKE STMinneapolis, MN 55408-3117
Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-6005 · Fax (612) 630-8242
Fax(612) 545-9049
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateNovember 28, 2007
NPI 1063452217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MN · 20000365
5 W LAKE ST, Minneapolis, MN 55408

Other Identifiers 6

Medicare OSCAR/certification500001478MN
Medicaid887019500MN
Medicare OSCAR/certification500003851MN
Other12-01355MN · Medica
Medicare UPINP21047MN
Other40D83KOMN · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
5 W LAKE ST, FAMILY MEDICAL CENTER
MINNEAPOLIS, MN 55408
Student in an Organized Health Care Education/Training Program
5 W LAKE ST
MINNEAPOLIS, MN 55408
Family Medicine
5 W LAKE ST
MINNEAPOLIS, MN 55408
Nurse Practitioner
5 W LAKE ST
MINNEAPOLIS, MN 55408
Nurse Practitioner
5 W LAKE ST
MINNEAPOLIS, MN 55408
Specialist
5 W LAKE ST
MINNEAPOLIS, MN 55408
Student in an Organized Health Care Education/Training Program
5 W LAKE ST
MINNEAPOLIS, MN 55408
Specialist
5 W LAKE ST
MINNEAPOLIS, MN 55408

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lora Lee Koepp's NPI number?

The NPI number for Lora Lee Koepp is 1063452217. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Lora Lee Koepp located?

Lora Lee Koepp practices at 5 W Lake St, Minneapolis, MN 55408. The listed phone number is (612) 545-9000.

What is Lora Lee Koepp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Lora Lee Koepp was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.