Laurie A. Fong in Detroit Lakes - Psychiatric/mental Health, Adult
Laurie A. Fong - NPI 1568419612
Laurie A. Fong is a Psychiatric/mental Health, Adult in Detroit Lakes, Minnesota. Laurie A. Fong practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Laurie A. Fong is 1568419612. The last update date is 2015-12-23.
Laurie A. Fong's current location address is 1027 Washington Ave, Detroit Lakes, Minnesota. You can contact this provider via phone number 2188475611 and fax number 2188470881. The mailing address for Laurie A. Fong is 1027 Washington Ave, Detroit Lakes, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie A. Fong |
|---|---|
| Address | 1027 Washington Ave, Detroit Lakes, Minnesota |
| Phone Number | 2188475611 |
| Fax Number | 2188470881 |
| Sole Proprietor | N |
| Credentials | APRN,CNP |
NPI Number Detail
| NPI Number | 1568419612 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2015-12-23 |
Provider Mailing Address Detail
| Address | 1027 Washington Ave |
|---|---|
| City | Detroit Lakes |
| State | Minnesota (MN) |
| Post Code | 565013409 |
| Phone Number | 2188475611 |
| Fax Number | 2188470881 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 364Sp0809X |
| Licence No | R-073941-0 |
|
Definition: A psychiatric clinical nurse specialist expert in caring for adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 109897 | MN | UCARE MINNESOTA | |
| 1015289 | MN | PREFERREDONE | |
| 444M0FO | MN | BLUE SHIELD OF MN | |
| 62-51179 | MN | UNITED BEHAVIORAL HEALTH | |
| 908239500 | MN | -- | |
| 71289 | ND | -- | |
| HP19196 | MN | HEALTHPARTNERS | |
| 1568419612 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Laurie A. Fong by the Centers for Medicare & Medicaid Services?
The Laurie A. Fong has been assigned the NPI (National Provider Identifier) 1568419612 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Laurie A. Fong is physically located?
The Laurie A. Fong is situated at the following address: 1027 Washington Ave, Detroit Lakes, MN 565013409.
What is Laurie A. Fong's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Laurie A. Fong is Psychiatric/mental Health, Adult, and the corresponding taxonomy classification code for this specialized field is 364Sp0809X.
On what date did the Laurie A. Fong receive its 1568419612 assignment from the Centers for Medicare & Medicaid Services?
The Laurie A. Fong was assigned its 1568419612 by the Centers for Medicare & Medicaid Services on 2006-05-27.
As of what date was the information regarding Laurie A. Fong, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Laurie A. Fong, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-12-23.
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