Maryanne Anne Lassegard in Ham Lake - Health Service
Maryanne Anne Lassegard - NPI 1982689592
Maryanne Anne Lassegard is a Health Service in Ham Lake, Minnesota. Maryanne Anne Lassegard practices all healthcare services and medical treatments related to Health Service. 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 | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | LP2187 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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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 |
Post Comment/ Review Below
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 Health Service, and the taxonomy code that classifies this field of practice is 103Th0100X.
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.