Individual
MS. LORI ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, LP
Contact information
Practice address
600 25TH AVE S, STE 109, SAINT CLOUD, MN 56301-4841
(320) 255-0343
(320) 654-0318
Mailing address
600 25TH AVE S, STE 109, SAINT CLOUD, MN 56301-4841
(320) 255-0343
(320) 654-0318
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3099
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110216
UCARE
—
01
—
187408
MAYO MANAGEMENT
—
01
—
2315034
AMERICAS PPO
—
01
—
337324
VALUE OPTIONS
—
01
—
411768605
CERIDIAN
—
01
—
6262609
UBH MEDICA SELECT CARE
—
01
—
766591015131
PREFERRED ONE
—
05
—
785325400
—
MN
01
—
82D17NE
BCBS COMP CARE
—
Enumeration date
11/18/2005
Last updated
06/07/2017
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