Individual
MR. LANCE MICHAEL NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L, CHT
Contact information
Practice address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 281-9377
(218) 281-9336
Mailing address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 281-9377
(218) 281-9336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
423
ND
225X00000X
Occupational Therapist
Primary
978472
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042277
PREFERRED ONE
—
01
—
221978600
MEDICAL ASSISTANCE
MN
01
—
24559
ND BCBS
ND
01
—
24559
NORIDIAN MUTUAL
—
01
—
24781
ND BCBS
ND
01
—
24781
DEMERS LOCATION
—
01
—
2605852
UNITED HEALTH CARE
—
01
—
340M9NO
BCBS MN
—
05
—
54902
—
ND
01
—
64-05686
MEDICA
—
01
—
6405687
DEMERS LOCATION
—
01
—
747655800
MEDICAL ASSISTANCE
MN
01
—
HP62196
HEALTH PARTNERS
—
Enumeration date
01/25/2006
Last updated
10/22/2012
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