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NPI Code Detail

MEDICARE: CASSIDY CAITLIN LEHRKE

MEDICARE:   CASSIDY CAITLIN LEHRKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystLBA0201MN

General Provider Information

NPI Number : 1083288245
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIDY CAITLIN LEHRKE
Provider Business Mailing Address
First Line : 19437 EVANS ST NW
Second Line :
City : ELK RIVER
State : MN
Zip : 55330-1074
Country : US
Telephone Number : 763-515-3532
Fax Number :
Provider Business Practice Location Address
First Line : 19437 EVANS ST NW
Second Line :
City : ELK RIVER
State : MN
Zip : 55330-1074
Country : US
Telephone Number : 763-515-3532
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2021
Last Update Date : 05/21/2026

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Directions to “ CASSIDY CAITLIN LEHRKE ” Practice Location

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