| Duluth Lighthouse For The Blind, Inc. | |
|
309 West 1st Street, Duluth, MN 55802 | |
| (218) 624-4828 | |
| (218) 624-4479 |
| Full Name | Duluth Lighthouse For The Blind, Inc. |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 309 West 1st Street, Duluth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811395874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (NU) | Secondary |
| 225X00000X | Occupational Therapist | (NU) | Primary |
| Provider Name | Lynne Renee Maine |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790228443 PECOS PAC ID: 3274813365 Enrollment ID: I20180918000644 |
| Provider Name | Laura G Lussier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174917454 PECOS PAC ID: 9234441759 Enrollment ID: I20181003001617 |
| Mailing Address | Practice Location Address |
|---|---|
| Duluth Lighthouse For The Blind, Inc. 309 West 1st Street, Duluth, MN 55802 Ph: (218) 624-4828 | Duluth Lighthouse For The Blind, Inc. 309 West 1st Street, Duluth, MN 55802 Ph: (218) 624-4828 |
Jamie R Smith, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 502 E 2nd St, Duluth, MN 55805 Phone: 218-727-8762 |
Jenna Maki, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, Duluth, MN 55805 Phone: 218-786-4000 |
Charlene Schneider Dillon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 E 2nd St, Duluth, MN 55805 Phone: 218-786-5360 |
Melissa Grace Julian, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-4000 |
Joy Zamzow, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 E Saint Marie St, Duluth, MN 55803 Phone: 218-481-7603 Fax: 218-481-7601 |
Ruth Dourn, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 724 Maple Grove Rd, Duluth, MN 55811 Phone: 218-279-4209 |
Emily Louise Whiting, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555 |