Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lana I. Boutacoff, PHD, LP

Individual provider Psychologist · NPI 1437213469

Dr. Lana I. Boutacoff, PHD, LP is a Psychologist in Saint Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

570 Asbury St Ste 104
Saint Paul, MN 55104-1849
Phone: (651) 645-7318
Fax: (651) 645-0974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP2623 (MN)

Record details

NPI number1437213469
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP
Sole proprietorYes
NPI enumeratedDecember 21, 2006
Last updated in NPPESJuly 8, 2007

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