NPIMap

Luciana Alexandra Di Biagio, MSW, LGSW

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Wayzata, MN

NPI 1114758950 · NPPES record last updated Aug 13, 2024

Key facts

NPI
1114758950
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
33613 (MN)
Practice address
1120 Wayzata Blvd E Ste 210
Wayzata, MN 55391-1915
Phone
(952) 443-4600
Fax
(952) 443-4604
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
33613MNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lorenz Clinic, LLC Current
since Aug 18, 2024		 Accepting new patients

Locations

1120 Wayzata Blvd E
Ste 210
Wayzata, MN 55391
Phone (218) 929-0732

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16506/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 33613 MN Yes

Addresses

Primary practice location

1120 Wayzata Blvd E Ste 210
Wayzata, MN 55391-1915

Mailing address

1120 Wayzata Blvd E Ste 210
Wayzata, MN 55391-1915
Phone (952) 443-4600

Other providers in Wayzata, MN

All providers in Wayzata, MN · Student in an Organized Health Care Education/Training Program in Minnesota

Sources for this page

Verify at the official NPI Registry.