Lori L W Melby, MD | |
1415 Saint Francis Ave, Shakopee, MN 55379-3374 | |
(952) 993-7750 | |
Not Available |
Full Name | Lori L W Melby |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1415 Saint Francis Ave, Shakopee, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982705059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 37268 (Minnesota) | Primary |
Entity Name | Lakeview Clinic, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669599981 PECOS PAC ID: 6002801453 Enrollment ID: O20040416000213 |
Mailing Address | Practice Location Address |
---|---|
Lori L W Melby, MD 8170 33rd Ave S, P.o. Box 1309, Minneapolis, MN 55425-4516 Ph: (952) 993-1000 | Lori L W Melby, MD 1415 Saint Francis Ave, Shakopee, MN 55379-3374 Ph: (952) 993-7750 |
Kristin A Witte, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750 | |
Mark Westholder, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7800 | |
Anthony Kohlenberg, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4360 12th Ave E, Shakopee, MN 55379 Phone: 651-968-5300 Fax: 651-646-0205 | |
Dr. Trevor L Busch, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750 | |
Nancy M O Connor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379 Phone: 952-428-3535 Fax: 952-428-3599 | |
Donald Lynch, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7800 | |
Jawaher Taher, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 161 Pottok Ln, Shakopee, MN 55379 Phone: 952-393-2229 |