Lakeside Medical Center, Inc.

NPI #1043200355 in Pine City, Minnesota

Provider Information

NPI Number
1043200355
Entity Type
Organization
Organization Name
Lakeside Medical Center, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 27, 2005
Last Updated
Mar 27, 2013

Practice Location

Address
129 6TH AVE SE
ZIP Code
55063-1913
Phone
(320) 629-2542

Authorized Official

Name
MR. RICHARD ALLEN MCMAHON
Title
CFO
Phone
(320) 629-2542

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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