Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lora Meadows

Individual provider Family Nurse Practitioner · NPI 1205614211

Lora Meadows is a Nurse Practitioner in Plymouth, Minnesota. Qualified in 2023, 3 years ago. Practices with Minuteclinic Diagnostic of Minnesota PA, a 86-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2023
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Practice location Address checks out

4140 County Road 101 N
Plymouth, MN 55446-2308
Phone: (763) 478-4612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10776 (MN)

Record details

NPI number1205614211
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2023
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023
Mailing address19846 Tyler St Nw, Elk River, MN 55330-2241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Minuteclinic Diagnostic Of Minnesota Pa — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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