Basic Information
Provider Information
NPI: 1275524126
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZIGAN
FirstName: LORINDA
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: PA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4 DEERWOOD AVE NW
Address2:  
City: WADENA
State: MN
PostalCode: 564821253
CountryCode: US
TelephoneNumber: 2186311360
FaxNumber: 2186317507
Practice Location
Address1: 4 DEERWOOD AVE NW
Address2:  
City: WADENA
State: MN
PostalCode: 564821253
CountryCode: US
TelephoneNumber: 2186311360
FaxNumber: 2186317507
Other Information
ProviderEnumerationDate: 10/31/2005
LastUpdateDate: 03/06/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700X9845MNY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

ID Information
IDTypeStateIssuerDescription
HP3940301 HEALTH PARTNERSOTHER
17198501 U CAREOTHER
COMP01 FIRST HEALTH PLANOTHER
198763001 ARAZ GROUP AMERICAS PPOOTHER
COMP01 CHAMPUSOTHER
COMP01 ONE HEALTH PLAN GREAT WESOTHER
011501701 MEDICA HEALTH PLANSOTHER
103492401 PREFERRED ONEOTHER
194L4Z101 BLUE CROSS BLUE SHIELDOTHER
28548640001 MEDICAL ASSISTANCE MAOTHER
COMP01 MMSIOTHER


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