Basic Information
| Provider Information | |||||||||
| NPI: | 1326156043 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PRICE | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | LYNN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2925 CHICAGO AVE | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554071321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6122625000 | ||||||||
| FaxNumber: | 6122362505 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 OSBORNE RD NE | ||||||||
| Address2: | SUITE 255 | ||||||||
| City: | FRIDLEY | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554322774 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7362362500 | ||||||||
| FaxNumber: | 7632362505 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/25/2006 | ||||||||
| LastUpdateDate: | 11/10/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 31176 | MN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 08F87PR | 01 | MN | BCBS OF MN | OTHER | 6603855 | 01 | MN | MEDICA URGENT CARE | OTHER | HP19900 | 01 | MN | HEALTHPARTNERS | OTHER | 1000848 | 01 | MN | PREFERRED ONE | OTHER | 4113916 | 01 | MN | AETNA INS | OTHER | 0120323 | 01 | MN | MEDICA NUMBER | OTHER | 035090700 | 05 | MN | MEDICAID | 107314 | 01 | MN | UCARE MN | OTHER | 21534 | 01 | MN | AMERICA'S PPO | OTHER |