Maryanne Anne Lassegard in Ham Lake - Adult Development & Aging

Maryanne Anne Lassegard - NPI 1982689592

Maryanne Anne Lassegard is a Adult Development & Aging in Ham Lake, Minnesota. Maryanne Anne Lassegard practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Maryanne Anne Lassegard is 1982689592. The last update date is 2017-02-10.

Maryanne Anne Lassegard's current location address is 3340 Interlachen Dr Ne, Ham Lake, Minnesota. You can contact this provider via phone number 7634346570 and fax number 7634346570. The mailing address for Maryanne Anne Lassegard is 3340 Interlachen Dr Ne, Ham Lake, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Maryanne Anne Lassegard
Address 3340 Interlachen Dr Ne, Ham Lake, Minnesota
Phone Number 7634346570
Fax Number 7634346570
Sole Proprietor Y
Credentials PH.D LP

NPI Number Detail

NPI Number 1982689592
Provider Enumeration Date 2005-12-07
Last Updated Date 2017-02-10

Provider Mailing Address Detail

Address 3340 Interlachen Dr Ne
City Ham Lake
State Minnesota (MN)
Post Code 553044507
Phone Number 7634346570
Fax Number 7634346570

Provider's Primary Taxonomy Detail

Speciality Adult Development & Aging
Taxonomy 103Ta0700X
Licence No LP2187
Definition:
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
854806 MN ARAZ
08S11LU FM BCBS
31016600 MN --
57610 MN CIGNA
6124240 FM MEDICA

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FAQs about Maryanne Anne Lassegard

What is the Maryanne Anne Lassegard's unique identification number?

The Maryanne Anne Lassegard has been assigned the NPI (National Provider Identifier) Number 1982689592 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Maryanne Anne Lassegard located?

The Maryanne Anne Lassegard is located at 3340 Interlachen Dr Ne, Ham Lake, MN 553044507.

What is Maryanne Anne Lassegard's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Maryanne Anne Lassegard is Adult Development & Aging, and the taxonomy code that classifies this field of practice is 103Ta0700X.

When did the Maryanne Anne Lassegard receive its 1982689592?

The Maryanne Anne Lassegard was issued its 1982689592 on 2005-12-07, which is the date when the organization was assigned this unique identifier.

When was the information regarding Maryanne Anne Lassegard most recently updated?

The details pertaining to the Maryanne Anne Lassegard, including its address, specialty, and other relevant information, were last refreshed on 2017-02-10.

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