Lifestream Wellness, LLC

NPI #1396282794 in Eagan, Minnesota

Provider Information

NPI Number: 1396282794
Entity Type: Organization
Organization Name: Lifestream Wellness, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Jan 23, 2017
Last Updated: Jan 23, 2017

Practice Location

Address: 3440 FEDERAL DR
Address 2: SUITE 140
City: Eagan
State: Minnesota
ZIP Code: 55122-3501
Phone: (651) 338-3574

Authorized Official

Name: JEAN BAKER-MCLAUGHLIN, L.AC
Title: OWNER, LICENSED ACUPUNCTURIST
Phone: (651) 338-3574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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