LORRAINE JEAN GRIFFIN (NPI# 1437110640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437110640 |
| Entity Type | Individual |
| Full Name | LORRAINE JEAN GRIFFIN |
| Credential | MD |
| Practice Address |
1400 Madison Ave Suite 400a Mankato MN 56001-5473 |
| Mailing Address |
1230 E Main St Po Box 8674 Mankato MN 56001-5066 |
| Practice Telephone | 5076251811 |
| Mailing Telephone | 5076251811 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 69941-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 31282 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 416824100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 265 Griffin St E, Amery, WI 540011439 | 7152688000 |
| Street Address |
1400 MADISON AVE SUITE 400A |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-5473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407415334 | Matthew J Hastreiter | Physical Therapist | 1400 Madison Ave, Mankato, MN 56001-5473 | 2019-06-13 |
| 1447761960 | Shayna Terese Miller | Speech-Language Pathologist | 1400 Madison Ave, Mankato, MN 56001-5473 | 2017-10-24 |
| 1619487899 | Ashley Marie Paul | Physical Therapist | 1400 Madison Ave, Mankato, MN 56001-5473 | 2017-10-02 |
| 1962938761 | Jennifer Jenniges | Counselor | 1400 Madison Ave, Suite 610, Mankato, MN 56001-5473 | 2017-05-11 |
| 1942671664 | Joseph Kann | Occupational Therapist | 1400 Madison Ave, Suite 100aa, Mankato, MN 56001-5473 | 2015-10-08 |
| 1881072254 | Peter Joseph Seiler | Psychiatry & Neurology | 1400 Madison Ave, Mankato, MN 56001-5473 | 2015-05-18 |
| 1518350982 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 1400 Madison Ave, Suite 402, Mankato, MN 56001-5473 | 2015-03-10 |
| 1043618564 | Lindsay Boettger | Counselor | 1400 Madison Ave, Suite 628, Mankato, MN 56001-5473 | 2014-12-16 |
| 1841601655 | Mischa Antin Tursich | Psychologist | 1400 Madison Ave, Suite 352, Mankato, MN 56001-5473 | 2014-05-14 |
| 1841617313 | Michael Mwangi Muchiri | Nurse Practitioner | 1400 Madison Ave, Suite 402, Mankato, MN 56001-5473 | 2014-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790196699 | Sultan Mirza | Dermatology | 1025 Marsh St, Mankato, MN 56001 | 2014-05-13 |
| 1679912901 | Nikoo Cheraghi | Dermatology | 1025 Marsh St, Mankato, MN 56001 | 2013-06-20 |
| 1992748594 | James A Benzmiller | Dermatology | 1400 E Madison Ave Ste 400a, Mankato, MN 56001-6805 | 2006-06-13 |
| 1629044029 | Mankato Clinic, Ltd. | Dermatology | 1230 E Main St, Mankato, MN 56001-5066 | 2006-02-24 |
| 1225017247 | Donald E Davis | Dermatology | 1230 E Main St, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962871608 | Lakes Dermatology, Pa | Dermatology | 14305 Southcross Dr W, Suite 110, Burnsville, MN 55306-7009 | 2015-09-23 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1578982773 | Lori Ann Fiessinger | Dermatology | 420 Delaware Street Se, Mmc 98, Minneapolis, MN 55455 | 2014-04-15 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1033537782 | Erin Sellinger | Dermatology | 2 Carlson Pkwy N, Ste 240, Plymouth, MN 55447-4485 | 2014-03-31 |
| 1033555230 | Samuel Blake Ecker | Dermatology | 3655 Plymouth Blvd Ste 110, Minneapolis, MN 55446-3665 | 2013-05-14 |
| 1295078913 | Jessica Jane Newman | Dermatology | 4-240, Phillips-wangensteen Bldg., 516 Delaware Street S.e., Mail Code 98, Minneapolis, MN 55455 | 2013-04-01 |
| 1437416088 | Tiffany Lynn Shih | Dermatology | 401 Phalen Blvd # Ms 41102b, Saint Paul, MN 55130-5302 | 2012-04-20 |
| 1124317383 | Sara Anne Hylwa | Dermatology | 730 South 8th Street, Department of Dermatology, Minneapolis, MN 55415 | 2011-03-28 |
| 1770885360 | Thomas Joseph Kalb | Dermatology | 13420 106th St., Young America, MN 55397-5401 | 2010-12-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.