Provider Demographics
NPI:1174897532
Name:FOSTER, LENDER KAYE
Entity type:Individual
Prefix:
First Name:LENDER
Middle Name:KAYE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2380 WYCLIFF ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1279
Mailing Address - Country:US
Mailing Address - Phone:651-528-6346
Mailing Address - Fax:651-528-7056
Practice Address - Street 1:2380 WYCLIFF ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1279
Practice Address - Country:US
Practice Address - Phone:651-528-6346
Practice Address - Fax:651-528-7056
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-02
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN349708163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse