Individual
LORI JEAN WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Mailing address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9460
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017124
PREFERRED ONE
MN
01
—
172641
U-CARE
MN
01
—
6228790
UBH MEDICA
MN
01
—
66DO5WE
BLUE CROSS BLUE SHIELD
MN
05
—
682523100
—
MN
01
—
6828790
UBH-MEDICA
MN
01
—
HP23812
HEALTH PARTNERS
MN
Enumeration date
08/09/2005
Last updated
04/03/2014
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