Provider Demographics
NPI:1275524126
Name:ZIGAN, LORINDA D (PA)
Entity Type:Individual
Prefix:
First Name:LORINDA
Middle Name:D
Last Name:ZIGAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 DEERWOOD AVE NW
Mailing Address - Street 2:
Mailing Address - City:WADENA
Mailing Address - State:MN
Mailing Address - Zip Code:56482-1253
Mailing Address - Country:US
Mailing Address - Phone:218-631-1360
Mailing Address - Fax:218-631-7507
Practice Address - Street 1:4 DEERWOOD AVE NW
Practice Address - Street 2:
Practice Address - City:WADENA
Practice Address - State:MN
Practice Address - Zip Code:56482-1253
Practice Address - Country:US
Practice Address - Phone:218-631-1360
Practice Address - Fax:218-631-7507
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN9845363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HP39403OtherHEALTH PARTNERS
171985OtherU CARE
COMPOtherFIRST HEALTH PLAN
1987630OtherARAZ GROUP AMERICAS PPO
COMPOtherCHAMPUS
COMPOtherONE HEALTH PLAN GREAT WES
0115017OtherMEDICA HEALTH PLANS
1034924OtherPREFERRED ONE
194L4Z1OtherBLUE CROSS BLUE SHIELD
285486400OtherMEDICAL ASSISTANCE MA
COMPOtherMMSI
285486400OtherMEDICAL ASSISTANCE MA
P99043Medicare UPIN