Lori Ab Wiggenhorn, MA, LP is a
Psychologist based in Vadnais Heights, Minnesota. Lori Ab Wiggenhorn is licensed to practice in Minnesota (license number LP3703) and her current practice location is
3640 Talmage Cir Ste 205, Vadnais Heights, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 388-5236.
NPI number for Lori Ab Wiggenhorn is 1013015940 and her current mailing address is 3640 Talmage Cir Ste 205, Vadnais Heights, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013015940.
Healthcare Provider's Profile
| Full Name | Lori Ab Wiggenhorn |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 3640 Talmage Cir Ste 205, Vadnais Heights, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013015940
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 02/19/2019
Medical Identifiers
Medical identifiers for Lori Ab Wiggenhorn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013015940 | NPI | - | NPPES |
| 200731439 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | LP3703 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lori Ab Wiggenhorn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lori Ab Wiggenhorn, MA, LP
3640 Talmage Cir Ste 205,
Vadnais Heights, MN 55110-4184
Ph: (612) 388-5236 | Lori Ab Wiggenhorn, MA, LP
3640 Talmage Cir Ste 205,
Vadnais Heights, MN 55110-4184
Ph: (612) 388-5236 |
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