LAURIE A. FONG APRN,CNP
NPI 1568419612
Nurse Practitioner - Psychiatric/Mental Health in Detroit Lakes, MN

Q: What is Laurie Fong's NPI number?

The NPI number for Laurie Fong is 1568419612. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Q: What is Laurie Fong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Laurie Fong was last updated on December 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 27, 2006

1027 WASHINGTON AVE, DETROIT LAKES, MN 56501(218) 847-5611(218) 847-0881 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Laurie A. Fong Aprn,cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURIE A. FONG APRN,CNP (NPI 1568419612) is an individual psychiatric/mental health provider in Detroit Lakes, Minnesota, licensed in Minnesota (R-073941-0) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1568419612

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLAURIE A. FONGCredential: APRN,CNP

Location Address1027 WASHINGTON AVEDetroit Lakes, MN 56501-3409

Mailing Address1027 Washington AveDetroit Lakes, MN 56501-3409 · (218) 847-5611 · Fax (218) 847-0881

Phone(218) 847-5611

Fax(218) 847-0881

Sole ProprietorNo

Enumeration DateMay 27, 2006

Last NPPES UpdateDecember 23, 2015

✔ NPI 1568419612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MN · R-073941-0

Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X · License R-073941-0 (MN)

1027 WASHINGTON AVE, Detroit Lakes, MN 56501

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Other Identifiers 11

Other1015289MN · Preferredone

Other444M0FOMN · Blue Shield Of Mn

Other109897MN · Ucare Minnesota

Medicaid908239500MN

Medicare PINH400117062MN

Other62-51179MN · United Behavioral Health

Medicaid71289ND

OtherHP19196MN · Healthpartners

Medicaid1568419612MN

Medicare UPINS55434MN

Medicare PINN719254ND

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD EMIL MARTIN MD

Emergency Medicine (Emergency Medical Services)