Forest Lake Skin and Vein Clinic
NPI #1013153907 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1013153907
- Entity Type
- Organization
- Organization Name
- Forest Lake Skin and Vein Clinic
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 23, 2008
- Last Updated
- Dec 23, 2008
Practice Location
- Address
- 280 12TH ST SW
- Address 2
- SUITE A
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-3778
- Phone
- (651) 464-7273
Authorized Official
- Name
- LESA RENAE STEGNER, CNP
- Title
- PRESIDENT
- Phone
- (651) 464-7273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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