Kizaur, Lauren Andrea Maccoux

Kizaur, Lauren Andrea Maccoux is an individual health care provider with primary practice located at 1385 Mendota Heights Rd Ste 200 , Mendota Heights MN 55120-1289. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kizaur, Lauren Andrea Maccoux can be contacted via phone (651) 379-9800.

Contact Information

Primary practice address
1385 Mendota Heights Rd Ste 200 Mendota Heights MN 55120-1289
Phone: (651) 379-9800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 25455 Minnesota

Profile Details

NPI number 1548721079
LBN Legal business name Kizaur, Lauren Andrea Maccoux
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2019
Last updated Nov 27th, 2023 - about 3 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 1548721079 NPPES
Minnesota Other 25455 BOARD OF SOCIAL WORK

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