Lifescan Minnesota LLC

NPI #1396748307 in Edina, Minnesota

Provider Information

NPI Number
1396748307
Entity Type
Organization
Organization Name
Lifescan Minnesota LLC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
May 23, 2005
Last Updated
Jun 12, 2008

Practice Location

Address
3955 PARKLAWN AVE
Address 2
STE 110
City
Edina
ZIP Code
55435-5657
Phone
(952) 893-1997

Authorized Official

Name
MRS. MICHELLE DOUGLAS
Title
CREDENTIALING MANAGER
Phone
(502) 403-1401

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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