Organization
MIND BODY SPIRIT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN LOWINSKE (OWNER)
(507) 625-2660
Entity
Organization
Contact information
Practice address
160 WAYNESBOROUGH WAY, MANKATO, MN 56001-6457
(507) 625-2660
Mailing address
160 WAYNESBOROUGH WAY, MANKATO, MN 56001-6457
(507) 625-2660
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3920
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125732
UCARE
MN
05
—
1975170-00
—
MN
01
—
45Q33L0
BLUE CROSS BLUE SHEILD
MN
01
—
62-51173
MEDICA
MN
Enumeration date
10/10/2008
Last updated
10/10/2008
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