Lynne M Stafford, PSYD, LP is a
Psychologist based in Saint Michael, Minnesota. Lynne M Stafford is licensed to practice in Minnesota (license number LP4222) and her current practice location is
4300 Edgewood Dr Ne, Saint Michael, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(763) 744-4000.
NPI number for Lynne M Stafford is 1225087497 and her current mailing address is 2925 Chicago Ave, Minneapolis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225087497.
Healthcare Provider's Profile
Full Name | Lynne M Stafford |
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Gender | Female |
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Speciality | Psychologist |
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Location | 4300 Edgewood Dr Ne, Saint Michael, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225087497
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 03/11/2021
Medical Identifiers
Medical identifiers for Lynne M Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225087497 | NPI | - | NPPES |
670914100 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | LP4222 (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. Lynne M Stafford 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 |
Lynne M Stafford, PSYD, LP 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-4813 | Lynne M Stafford, PSYD, LP 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 Ph: (763) 744-4000 |
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