Provider Demographics
NPI:1750534327
Name:BYRNE, LOIS LORRAINE (MSW-LICSW)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:LORRAINE
Last Name:BYRNE
Suffix:
Gender:F
Credentials:MSW-LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 6TH ST N
Mailing Address - Street 2:THE DIOCESE OF NEW ULM - CATHOLIC CHARITIES
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-2071
Mailing Address - Country:US
Mailing Address - Phone:507-359-2617
Mailing Address - Fax:507-354-3667
Practice Address - Street 1:1400 6TH STREET NORTH
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073
Practice Address - Country:US
Practice Address - Phone:507-359-2617
Practice Address - Fax:507-354-3667
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN188061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical