Individual
LYDIA PANSEGRAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4838 47TH ST S UNIT F, FARGO, ND 58104-4364
(701) 213-3629
Mailing address
4838 47TH ST S UNIT F, FARGO, ND 58104-4364
(701) 213-3629
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
096889
IA
225X00000X
Occupational Therapist
106004
MN
225X00000X
Occupational Therapist
Primary
1757
ND
225X00000X
Occupational Therapist
21439
CA
Other
Enumeration date
07/30/2019
Last updated
12/17/2025
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