Organization Active NPI

E.Jane Lorentzen, Psy.D., L.P., P.a.

  • Clinic/Center
  • Red Wing, MN
National Provider Identifier
1922160217
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
LP 4208 Issued in MN
Legal business name
E.JANE LORENTZEN, PSY.D., L.P., P.A.
Practice address
325 Main St
Suite 201
Red Wing, MN 55066-2356
Phone
(651) 388-0133
Fax
(651) 388-1252
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elizabeth Jane Lorentzen, PSY.D.
Title
President
Phone
(651) 388-0133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X LP 4208 MN Primary

Addresses

Primary practice location

325 Main St
Suite 201
Red Wing, MN 55066-2356

Mailing address

325 Main St
Suite 201
Red Wing, MN 55066-2356
Phone (651) 388-0133

National Provider Directory

National Provider Directory

Locations

325 Main St
Ste 201
Red Wing, MN 55066
Phone (651) 388-0133

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922160217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAIN ST",
            "address_2": "SUITE 201",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662356",
            "telephone_number": "651-388-0133",
            "fax_number": "651-388-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MAIN ST",
            "address_2": "SUITE 201",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662356",
            "telephone_number": "651-388-0133",
            "fax_number": "651-388-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.JANE LORENTZEN, PSY.D., L.P., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LORENTZEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-388-0133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "LP 4208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Wing, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.