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NPI Code Detail

MEDICARE: LOREN H NIEHOFF LMFT

MEDICARE: LOREN H NIEHOFF LMFT
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
1106H00000XMarriage & Family Therapist2665MN

General Provider Information

NPI Number : 1912344466
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOREN H NIEHOFF LMFT
Provider Business Mailing Address
First Line : 305 30TH AVE W
Second Line :
City : ALEXANDRIA
State : MN
Zip : 56308-3429
Country : US
Telephone Number : 320-460-8028
Fax Number :
Provider Business Practice Location Address
First Line : 303 30TH AVE W
Second Line :
City : ALEXANDRIA
State : MN
Zip : 56308-3429
Country : US
Telephone Number : 320-460-8028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2013
Last Update Date : 12/10/2021

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