Individual
LANA ABBOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP, MAC L.AC,
Contact information
Practice address
2805 CAMPUS DR, SUITE 115, PLYMOUTH, MN 55441-2676
(763) 577-7000
Mailing address
2805 CAMPUS DR, SUITE 115, PLYMOUTH, MN 55441-2676
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5739
MN
171100000X
Acupuncturist
1290
MN
Other
Enumeration date
10/07/2014
Last updated
11/06/2020
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