Provider Demographics
NPI:1326830324
Name:DUFRESNE, LORI LYNN (LMT)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:LYNN
Last Name:DUFRESNE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2032 ASHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-5720
Mailing Address - Country:US
Mailing Address - Phone:651-917-8112
Mailing Address - Fax:
Practice Address - Street 1:2032 ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-5720
Practice Address - Country:US
Practice Address - Phone:651-917-8112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist