Lukas Eisen, | |
1531 32nd Ave S Ste 102, Fargo, ND 58103-5911 | |
() - | |
Not Available |
Full Name | Lukas Eisen |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1531 32nd Ave S Ste 102, Fargo, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326697947 | NPI | - | NPPES |
1386471167 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | 4155 (Minnesota) | Secondary |
106H00000X | Marriage & Family Therapist | 2022-084 (North Dakota) | Primary |
Entity Name | Nystrom & Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
Mailing Address | Practice Location Address |
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Lukas Eisen, 1531 32nd Ave S Ste 102, Fargo, ND 58103-5911 Ph: (701) 951-8512 | Lukas Eisen, 1531 32nd Ave S Ste 102, Fargo, ND 58103-5911 Ph: () - |
Cynthia Johnson, Couples Therapy Medicare: Medicare Enrolled Practice Location: 3309 Fiechtner Dr. S. Ste H, Fargo, ND 58103 Phone: 218-329-3552 Fax: 701-403-8003 | |
Clara A Erickson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1330 Page Dr S, Ste 102a, Fargo, ND 58103 Phone: 701-446-6500 | |
Mrs. Heather Elaine Bjur, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1112 Nodak Dr S, Fargo, ND 58103 Phone: 701-232-6224 Fax: 701-232-4687 | |
William Noel Ahlfeldt, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 102 25th Ave N, Fargo, ND 58102 Phone: 701-412-6953 | |
Victoria Zak, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-234-2000 | |
Amanda Bahr, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1128 Westrac Dr S Ste A, Fargo, ND 58103 Phone: 701-561-1177 | |
Mary K Uong-kaale, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1201 25th St S, Fargo, ND 58103 Phone: 701-451-4900 |