Shannon G Lackner, - Counselor in Saint Paul, MN

Shannon G Lackner, is a Counselor - Mental Health based in Saint Paul, Minnesota. Shannon G Lackner is licensed to practice in Minnesota (license number 2993) and her current practice location is 1554 Midway Pkwy Apt 448, Saint Paul, Minnesota. She can be reached at her office (for appointments etc.) via phone at (218) 639-2150.

NPI number for Shannon G Lackner is 1356907026 and her current mailing address is 6381 Osgood Ave N Bldg C, Stillwater, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356907026.

Contact Information

Shannon G Lackner,
1554 Midway Pkwy Apt 448,
Saint Paul, MN 55108-2464
(218) 639-2150
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameShannon G Lackner
GenderFemale
SpecialityCounselor - Mental Health
Location1554 Midway Pkwy Apt 448, Saint Paul, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356907026
  • Provider Enumeration Date: 05/17/2019
  • Last Update Date: 02/20/2023

Medical Identifiers

Medical identifiers for Shannon G Lackner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356907026NPI-NPPES
1356907026OtherMNCOMMERCIAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 2993 (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. Shannon G Lackner 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 AddressPractice Location Address
Shannon G Lackner,
6381 Osgood Ave N Bldg C,
Stillwater, MN 55082-6118

Ph: (651) 560-5275
Shannon G Lackner,
1554 Midway Pkwy Apt 448,
Saint Paul, MN 55108-2464

Ph: (218) 639-2150

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