Female

Ms. Kristen J. Lane PSYD, LP

Clinical Psychologist in Duluth, MN(View on Map)

Full Name

Ms. Kristen Jean Lane PSYD, LP

NPI Number

1497208706

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/03/2016

Specialties

(Taxonomies)

Code

103TC0700X
101YM0800X

Primary Taxonomy

Yes
No

Licenses

State

Minnesota

License Number

LP6571

Contact
Information

Purpose

Mailing
Location

Address

400 E 3RD ST
502 E 2ND ST

City

Duluth
Duluth

State

MN
MN

Postal Code

55805-1951
55805-1913

Country

US
US

Telephone Number

(218) 786-8364
(218) 786-8364

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/21/2021

Provider Address

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