Lauren Renaye Lefavor Dickie, PSYD LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP3919 Issued in MN

Practice address

108 S Minnesota Ave
Saint Peter, MN 56082

Phone

(507) 934-3312

NPI assigned

Jul 6, 2006

Last updated

Jul 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Lauren Lefavor Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1790716520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S MINNESOTA AVE STE 205",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560822557",
            "telephone_number": "507-721-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MINNESOTA AVE",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "56082",
            "telephone_number": "507-934-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKIE",
        "first_name": "LAUREN",
        "middle_name": "RENAYE LEFAVOR",
        "name_prefix": "Dr.",
        "credential": "PSYD LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3919",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "LEFAVOR",
            "prefix": "DR.",
            "credential": "PSYD LP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lula Ahmed Dayib
• Kristin Lee Dehrkoop
• Sheryl Lynn Delain-Adderley, PHD, LP
• Nicholas Devetter, DO
• Michelle Marie Dick, LICSW
• Direct Care and Treatment - Forensic Services
• Blake Thomas Dirks, OD
• Zachary Blake Dirks, O.D.
• Makenna Douglas, PSY.D., LP
• Julie K Drier, MD

• Clinical Psychologist in Saint Peter, MN
• Providers in Saint Peter, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.