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Individual

MR. ORVIN G. LOMMEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
#9 CORTLAND DRIVE, MINOT, ND 58703
(701) 240-7944
(701) 857-8555
Mailing address
#9 CORTLAND DRIVE, MINOT, ND 58703
(701) 240-7944
(701) 857-8555

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
448
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019220
ND
01
05358
BCBS
05
054517
ND
Enumeration date
07/31/2006
Last updated
12/28/2018
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