Organization
JOHN A. LORAAS, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANTHONY LORAAS PH.D., LP (CLINICAL PSYCHOLOGIST)
(952) 432-3220
Entity
Organization
Contact information
Practice address
7373 147TH ST W STE 180, APPLE VALLEY, MN 55124-7689
(952) 432-3220
(952) 891-4622
Mailing address
7373 147TH ST W STE 180, APPLE VALLEY, MN 55124-7689
(952) 432-3220
(952) 891-4622
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
MN LP 3963
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06D65LO
BLUE CROSS BLUE SHIELD
MN
01
—
116316
U CARE OF MINNESOTA
MN
05
—
564021100
—
MN
01
—
6110518
UNITED BEHAVIORAL HEALTH
MN
Enumeration date
07/12/2007
Last updated
05/14/2008
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