Longville Lakes Clinic, Inc.

NPI #1801229000 in Baxter, Minnesota

Provider Information

NPI Number
1801229000
Entity Type
Organization
Organization Name
Longville Lakes Clinic, Inc.
Primary Specialty
Clinic/Center
Enumeration Date
Aug 12, 2013
Last Updated
Jan 4, 2022

Practice Location

Address
13205 ISLE DRIVE
City
Baxter
ZIP Code
56425
Phone
(218) 546-7000

Authorized Official

Name
KATIE BERG
Title
CFO
Phone
(218) 546-7000

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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