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NPI Code Detail

MEDICARE: LAUREN K RANCE PHD

MEDICARE: LAUREN K RANCE PHD
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
1103T00000XPsychologist
2103T00000XPsychologistLP6180MN

General Provider Information

NPI Number : 1093262115
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN K RANCE PHD
Provider Business Mailing Address
First Line : 8170 33RD AVE S # MS 21110Q
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55425-4516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 675 E NICOLLET BLVD STE 250
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-6768
Country : US
Telephone Number : 952-993-3307
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2016
Last Update Date : 03/11/2021

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Directions to “ LAUREN K RANCE PHD” Practice Location

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