LOIS L.A. SHUB


Address: 1425 20th St Sw, Rochester, MN 55902-2217
Phone: 5072880395

LOIS L.A. SHUB (NPI# 1366596678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366596678
Entity Type Individual
Full Name LOIS L.A. SHUB
Credential L.P.
Practice Address 1425 20th St Sw
Rochester
MN 55902-2217
Practice Telephone 5072880395
Practice Fax Number 5072893731
Mailing Telephone 5072880395
Mailing Fax Number 5072893731
Enumeration Date 2007-01-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
LP3932 MN Behavioral Health & Social Service Providers

Office Location

Street Address 1425 20TH ST SW
City ROCHESTER
State MN
Zip Code 55902-2217

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1518116243 Ronke Lattimore Tapp Psychologist 738 Library Road, 3rd Flr University Counseling Center U of Rochester, Rochester, NY 14627-0356 2008-09-18
1467540088 James Larry Smith Psychologist 724 First Ave. Sw, Ste 2, Rochester, MN 55902-3356 2006-10-10
1346209012 Sharon Lee Falasco Psychologist 448 White Spruce Blvd, Rochester, NY 14623-1608 2006-03-21
1831565571 Yu-ying Lin Psychologist 440 White Spruce Blvd, Rochester, NY 14623-1608 2015-08-17
1982013744 Megan Lytle-flint Psychologist 300 Crittenden Blvd Box Psych, Rochester, NY 14642-0001 2014-08-06
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Competitor

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City ROCHESTER
Zip Code 55902

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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