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Individual

LORRAINE HOFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LP

Contact information

Practice address
102 MARTY DR, BUFFALO, MN 55313
(763) 682-5420
Mailing address
102 MARTY DR, BUFFALO, MN 55313
(763) 682-5420

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1601
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110702
UCARE
MN
01
326T4HO
BLUE CROSS BLUE SHIELD
MN
01
HP37866
HEALTHPARTNERS
MN
Enumeration date
09/21/2006
Last updated
07/08/2007
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