Individual
MS. LAURA ANNE LUCAS-SILVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
6542 REGENCY LN, SUITE 201, EDEN PRAIRIE, MN 55344-7847
(952) 903-9201
(952) 903-9257
Mailing address
5917 KILLARNEY LN S, EDINA, MN 55436-1809
(952) 922-2166
(952) 903-9257
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0001548
OH
101YP2500X
Professional Counselor
Primary
00030
MN
101YP2500X
Professional Counselor
2250
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1A311LU
BCBS OF MN PAYEE ID
MN
Enumeration date
04/13/2007
Last updated
07/08/2007
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