Provider Demographics
NPI:1184709065
Name:ALEKNAVICIUS, LORI ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:ANN
Last Name:ALEKNAVICIUS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:LORI
Other - Middle Name:ANN
Other - Last Name:O'ROURKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 W 1ST ST STE 524
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-1634
Mailing Address - Country:US
Mailing Address - Phone:218-491-0746
Mailing Address - Fax:
Practice Address - Street 1:301 W 1ST ST STE 524
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-1634
Practice Address - Country:US
Practice Address - Phone:218-491-0746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist