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NPI Code Detail

MEDICARE: LORI L BJERKE

MEDICARE: LORI L BJERKE
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
1225X00000XOccupational Therapist49ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891851176
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI L BJERKE
Provider Business Mailing Address
First Line : PO BOX 238
Second Line :
City : PAGE
State : ND
Zip : 58064-0238
Country : US
Telephone Number : 701-668-2947
Fax Number :
Provider Business Practice Location Address
First Line : 232 3RD ST NE
Second Line :
City : VALLEY CITY
State : ND
Zip : 58072-3014
Country : US
Telephone Number : 701-845-3402
Fax Number : 701-845-3408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2006
Last Update Date : 07/08/2007

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Directions to “ LORI L BJERKE ” Practice Location

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