Northern Lakes Surgery Center LLC
NPI #1649922485 in Moose Lake, Minnesota
Provider Information
- NPI Number
- 1649922485
- Entity Type
- Organization
- Organization Name
- Northern Lakes Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jan 24, 2022
- Last Updated
- Dec 19, 2024
Practice Location
- Address
- 4791 COUNTY ROAD 10
- City
- Moose Lake
- State
- Minnesota
- ZIP Code
- 55767-9221
- Phone
- (218) 249-5357
Authorized Official
- Name
- KATHERINE BECKER
- Title
- VP CORPORATE COMPLIANCE
- Phone
- (218) 249-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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