Individual
MR. LARRY TODD LEWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
1919 UNIVERSITY AVE W, #200, SAINT PAUL, MN 55104-3453
(651) 266-7900
(651) 266-7850
Mailing address
12326 ZEA ST NW, COON RAPIDS, MN 55433-1690
(763) 323-3078
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3546
MN
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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