Organization
JOHN A. LORAAS, PH.D., P.A.
Active
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
Update your record
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