MEDICARE: MR. DAVID LOREN ANDROS MS, LP

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
1	103T00000X	Psychologist	3107	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	525225-300	OTHER	MN	MNCARE PROVIDER NUMBER

General Provider Information

NPI Number	:	1386717700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID LOREN ANDROS MS, LP

Provider Business Mailing Address
First Line	:	326 WALNUT ST
Second Line	:
City	:	SAINT PETER
State	:	MN
Zip	:	56082-1442
Country	:	US
Telephone Number	:	507-934-4160
Fax Number	:	507-934-4160

Provider Business Practice Location Address
First Line	:	1120 SOUTH AVE
Second Line	:
City	:	NORTH MANKATO
State	:	MN
Zip	:	56003-3507
Country	:	US
Telephone Number	:	507-934-4160
Fax Number	:	507-934-4160

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	02/24/2017

Similar Medicare Providers

1326217068 — ZBIGNIEW CICHON, MD, PA
Practice Location Address:

110 JEFFERSON ST , SUITE 103
NORTH WILKESBORO, NC
28659-3507

Practice Phone: 336-838-1617
Practice Fax: 336-838-2637

1528218237 — COLON AND RECTAL ASSOCIATES OF ARKANSAS, PLLC
Practice Location Address:

3302 N. NORTH HILLS BLVD
FAYETTEVILLE, AR
72703-3507

Practice Phone: 479-443-9443
Practice Fax: 479-443-4895

1740594753 — LESLEY LOU LIEB M.S. CCC-SLP/L
Practice Location Address:

1260 E 1100 NORTH RD
BEMENT, IL
61813-3507

Practice Phone: 217-520-4526
Practice Fax:

1871018184 — TRAVELIN MERCIES LLC
Practice Location Address:

205 GLENWOOD ST SW
NORTH CANTON, OH
44720-3507

Practice Phone: 330-904-0018
Practice Fax:

1114560158 — LAURA TOMS LMT
Practice Location Address:

5529 N RHETT AVE
NORTH CHARLESTON, SC
29406-3507

Practice Phone: 843-256-3448
Practice Fax:

1538765656 — MR. DAVID JOHN CASEY M.ED
Practice Location Address:

21 CLIFF DR
NORTH ATTLEBORO, MA
02760-3507

Practice Phone: 617-543-7396
Practice Fax:

Directions to “ MR. DAVID LOREN ANDROS MS, LP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.