Lake Shore Treatement Center LLC
NPI #1023430519 in Mahtomedi, Minnesota
Provider Information
- NPI Number
- 1023430519
- Entity Type
- Organization
- Organization Name
- Lake Shore Treatement Center LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jan 17, 2014
- Last Updated
- Feb 20, 2025
Practice Location
Authorized Official
- Name
- LEWIS P ZEIDNER, PHD
- Title
- CEO
- Phone
- (763) 245-8278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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