ANDREA LANE NPI 1760082143

NPI Information

  • NPI: 1760082143
  • Provider Name: ANDREA LANE
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1875 STATION PKWY NW
    ANDOVER, MN
    ZIP 55304
  • Phone: (763) 482-9598

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NPI Details

Andrea Lane is an addiction (substance use disorder) counselor in Andover, MN with 6 years of experience. Andrea Lane NPI is 1760082143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1875 STATION PKWY NW
ANDOVER, MN
ZIP 55304
Phone: (763) 482-9598

The NPI 1760082143 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/27/2020 and was last updated on 7/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)305243MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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