Light Mountain Healthworks Inc.

NPI #1780974998 in Bemidji, Minnesota

Provider Information

NPI Number
1780974998
Entity Type
Organization
Organization Name
Light Mountain Healthworks Inc.
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Apr 10, 2011
Last Updated
Apr 10, 2011

Practice Location

Address
502 HIDDEN TRAIL CT SW
ZIP Code
56601-2569
Phone
(218) 759-0835

Authorized Official

Name
MS. JANET ANN LISTEBARGER, RN, MT
Title
PRESIDENT
Phone
(218) 759-0835

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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