| John A. Loraas, Ph.d., P.a. | |
|
7373 147th St W Ste 180 Apple Valley MN 55124-7689 | |
| (952) 432-3220 | |
| (952) 891-4622 |
| Full Name | John A. Loraas, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 7373 147th St W Ste 180, Apple Valley, Minnesota |
| Authorized Official Name and Position | John Anthony Loraas (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9524323220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John A. Loraas, Ph.d., P.a. 7373 147th St W Ste 180 Apple Valley MN 55124-7689 Ph: (952) 432-3220 | John A. Loraas, Ph.d., P.a. 7373 147th St W Ste 180 Apple Valley MN 55124-7689 Ph: (952) 432-3220 |
| NPI Number | 1730388562 |
|---|---|
| Provider Enumeration Date | 07/12/2007 |
| Last Update Date | 05/14/2008 |
| Medicare PECOS PAC ID | 9537189808 |
|---|---|
| Medicare Enrollment ID | O20051201000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730388562 | NPI | - | NPPES |
| 6110518 | Other | MN | UNITED BEHAVIORAL HEALTH |
| 116316 | Other | MN | U CARE OF MINNESOTA |
| 06D65LO | Other | MN | BLUE CROSS BLUE SHIELD |
| 564021100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | MN LP 3963 (Minnesota) | Primary |
| Provider Name | John Anthony Loraas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487716940 PECOS PAC ID: 3971523242 Enrollment ID: I20051201000207 |
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