Mayo Clinic Health System-Lake City

NPI #1447863972 in Lake City, Minnesota

Provider Information

NPI Number
1447863972
Entity Type
Organization
Organization Name
Mayo Clinic Health System-Lake City
Subpart
Yes (part of a larger organization)
Parent Organization
MAYO CLINIC HEALTH SYSTEM-LAKE CITY
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Aug 25, 2020
Last Updated
Aug 25, 2020

Practice Location

Address
500 W GRANT ST
ZIP Code
55041-1143
Phone
(651) 345-3321

Authorized Official

Name
PRAVEEN MEKALA
Title
CFO
Phone
(507) 266-1557

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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