Lakes Area Urology PA

NPI #1881666873 in Brainerd, Minnesota

Provider Information

NPI Number: 1881666873
Entity Type: Organization
Organization Name: Lakes Area Urology PA
Primary Specialty: Urology
Enumeration Date: Feb 3, 2006
Last Updated: Feb 16, 2010

Practice Location

Address: 1903 S 6TH ST
Address 2: STE 3
City: Brainerd
State: Minnesota
ZIP Code: 56401
Phone: (218) 828-1418

Authorized Official

Name: DAVID BRIAN PAUL, MD
Title: PRESIDENT
Phone: (218) 828-1418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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