Lucas, Timothy Coredon

Lucas, Timothy Coredon is an individual health care provider with primary practice located at 1125 6Th Street Se Woodland Centers, Willmar MN 56201-4675. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lucas, Timothy Coredon can be contacted via phone (320) 231-9148.

Contact Information

Primary practice address
1125 6Th Street Se Woodland Centers Willmar MN 56201-4675
Phone: (320) 231-9148
Fax: (320) 231-9140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10148 Minnesota

Profile Details

NPI number 1376602334
LBN Legal business name Lucas, Timothy Coredon
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376602334 NPPES
Other 115361 UCARE
Other 6H675LU UCARE
Other 1013106 UCARE
Other 6230516 UCARE

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