Individual provider Active NPI

Renae L Lien, PHARM.D.

  • Pharmacist
  • Fergus Falls, MN
National Provider Identifier
1992933287
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
119621 Issued in MN
Practice address
712 Cascade St S
Lake Region Healthcare Corporation
Fergus Falls, MN 56538-0728
Phone
(651) 329-8467
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 119621 MN Primary
Pharmacist 183500000X 5225 ND

Addresses

Primary practice location

712 Cascade St S
Lake Region Healthcare Corporation
Fergus Falls, MN 56538-0728

Mailing address

712 Cascade St., S PO Box 728
Lake Region Healthcare Corporation
Fergus Falls, MN 56538-0728
Phone (651) 329-8467

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
119621MNMDPharmacist
5225NDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1992933287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 CASCADE ST., S PO BOX 728",
            "address_2": "LAKE REGION HEALTHCARE CORPORATION",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565380728",
            "telephone_number": "651-329-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 CASCADE ST S",
            "address_2": "LAKE REGION HEALTHCARE CORPORATION",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565380728",
            "telephone_number": "651-329-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEN",
        "first_name": "RENAE",
        "middle_name": "L",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119621",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "5225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.