Sedlacek, Lawrence Lowell
Sedlacek, Lawrence Lowell is an individual health care provider with primary practice located at 2497 7Th Avenue E. Ste 101, North St. Paul MN 55109-2946. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Sedlacek, Lawrence Lowell can be contacted via phone (651) 769-6437.Contact Information
Primary practice address
2497 7Th Avenue E. Ste 101
North St. Paul MN 55109-2946
Phone: (651) 769-6437
Fax: (651) 769-6599
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CC03838 | Minnesota |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 305266 | Minnesota |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | CC03838 | Minnesota |
Profile Details
NPI number | 1093288987 |
---|---|
LBN Legal business name | Sedlacek, Lawrence Lowell |
Credentials | MA, LPCC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 3rd, 2019 |
Last updated | May 31st, 2024 - about 7 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093288987 | NPPES |
Minnesota | MEDICAID | 205557491 |
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