Northern Lakes Surgery Center LLC
NPI #1447945464 in Moose Lake, Minnesota
Provider Information
- NPI Number
- 1447945464
- Entity Type
- Organization
- Organization Name
- Northern Lakes Surgery Center LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 6, 2023
- Last Updated
- Apr 6, 2023
Practice Location
- Address
- 4791 COUNTY ROAD 10 STE 101
- City
- Moose Lake
- State
- Minnesota
- ZIP Code
- 55767-9221
- Phone
- (218) 509-2100
Authorized Official
- Name
- KATHERINE BECKER
- Title
- VP CORPORATE COMPLIANCE
- Phone
- (218) 249-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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