Trey William Lyngaas, | |
1245 Washington Ave, Detroit Lakes, MN 56501-3923 | |
(218) 846-2000 | |
Not Available |
Full Name | Trey William Lyngaas |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1245 Washington Ave, Detroit Lakes, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295453439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Sanford Clinic North |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
Provider Name | Sanford Medical Center Fargo |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
Mailing Address | Practice Location Address |
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Trey William Lyngaas, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Trey William Lyngaas, 1245 Washington Ave, Detroit Lakes, MN 56501-3923 Ph: (218) 846-2000 |
Nicole Mazour, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 | |
Kelsey Wilberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Monica Kemper, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Beth Sternhagen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Leah R Pettit, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-844-2300 | |
Patricia Marie Stalberger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 Madison Ave, Detroit Lakes, MN 56501 Phone: 218-844-7119 | |
Heather A Kiebke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 |