Individual provider Active NPI

Sondra Kay Lawrence, M.S.,L.P.

  • Psychologist
  • Waite Park, MN
National Provider Identifier
1700895505
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP 2528 Issued in MN
Practice address
110 2ND St S Ste 222
Waite Park, MN 56387-1312
Phone
(320) 202-7750
Fax
(320) 259-7023
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP 2528 MN Primary

Addresses

Primary practice location

110 2ND St S Ste 222
Waite Park, MN 56387-1312

Mailing address

110 2ND St S Ste 222
Waite Park, MN 56387-1312
Phone (132) 020-2775

Other identifiers 2

IdentifierTypeStateIssuer
0897006OtherMNPREFERRED ONE
45D74LAOtherMNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3124 Santa Fe TRL
Saint Cloud, MN 56301-9140
Phone (320) 293-6744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LP 2528MNMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1700895505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 2ND ST S STE 222",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871312",
            "telephone_number": "132-020-2775",
            "fax_number": "320-259-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 2ND ST S STE 222",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871312",
            "telephone_number": "320-202-7750",
            "fax_number": "320-259-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "SONDRA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "M.S.,L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 2528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "0897006",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45D74LA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waite Park, MN

Sources for this page

Verify at the official NPI Registry.