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Laurie A. Fong, APRN,CNP
Psychiatric/Mental Health Nurse Practitioner in Detroit Lakes, Minnesota
NPI 1568419612

Laurie A. Fong is a Psychiatric/Mental Health Nurse Practitioner based in Detroit Lakes, MN and is specialized in Psychiatric/Mental Health. Laurie A. Fong practices in Detroit Lakes, MN and has the professional credentials of APRN,CNP. The NPI Number for Laurie A. Fong is 1568419612 and holds a License No. R-073941-0 (Minnesota).

The current practice location address for Laurie A. Fong is 1027 Washington Ave, Detroit Lakes, MN and can be reached out via phone at 218-847-5611 and via fax at 218-847-0881.

Location: 1027 Washington Ave, Detroit Lakes, MN, 56501-3409
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Provider Profile Details
NPI Number
1568419612
Provider Name
Laurie A. Fong
Credential
APRN,CNP
Provider Entity Type
Individual
Gender
Female
Address
1027 Washington Ave, Detroit Lakes, MN, 56501-3409
Phone Number
218-847-5611
Fax Number
218-847-0881
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
109897 01 MN UCARE MINNESOTA
1015289 01 MN PREFERREDONE
444M0FO 01 MN BLUE SHIELD OF MN
62-51179 01 MN UNITED BEHAVIORAL HEALTH
908239500 05 MN
71289 05 ND
HP19196 01 MN HEALTHPARTNERS
1568419612 05 MN
institution
Provider Business Practice Location Address Details
Address
1027 Washington Ave
City
State
Zip
56501-3409
Phone Number
218-847-5611
Fax Number
218-847-0881
person
Provider Business Mailing Address Details
Address
1027 Washington Ave
City
State
Zip
56501-3409
Phone Number
218-847-5611
Fax Number
218-847-0881
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R-073941-0 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
R-073941-0 (Minnesota)
Definition
Definition to come...
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