Lauren Renaye Lefavor Dickie, PSYD LP
Individual provider Active NPI Clinical Psychologist · Saint Peter, MN
NPI 1790716520 · NPPES record last updated Jul 2, 2018
Key facts
- NPI
- 1790716520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- LP3919 (MN)
- Practice address
- 108 S Minnesota Ave
Saint Peter, MN 56082 - Phone
- (507) 934-3312
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3919 | MN | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP3919 | MN | |
| Clinical Psychologist | 103TC0700X | LP3919 | MN | Yes |
Addresses
Primary practice location
108 S Minnesota Ave
Saint Peter, MN 56082
Mailing address
108 S Minnesota Ave Ste 205
Saint Peter, MN 56082-2557
Phone (507) 721-1227
Other names
- Dr. Lauren Lefavor
Other providers in Saint Peter, MN
- Lula Ahmed Dayib
- Kristin Lee Dehrkoop
- Sheryl Lynn Delain-Adderley
- Nicholas Devetter
- Michelle Marie Dick
- Direct Care and Treatment - Forensic Services
- Blake Thomas Dirks
- Zachary Blake Dirks
- Makenna Douglas
- Julie K Drier
All providers in Saint Peter, MN · Clinical Psychologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.