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NPI Code Detail

MEDICARE: LAUREN ADSEM LADC

MEDICARE: LAUREN ADSEM LADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor302765MN

General Provider Information

NPI Number : 1750711925
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ADSEM LADC
Provider Business Mailing Address
First Line : 1800 CHICAGO AVE
Second Line : SUITE S171
City : MINNEAPOLIS
State : MN
Zip : 55404-1901
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1800 CHICAGO AVE
Second Line : SUITE S171
City : MINNEAPOLIS
State : MN
Zip : 55404-1901
Country : US
Telephone Number : 612-543-0028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2013
Last Update Date : 11/25/2013

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Directions to “ LAUREN ADSEM LADC” Practice Location

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