Allina Health Lakeville South Clinic | |
20795 Keokuk Ave Lakeville MN 55044-6004 | |
(952) 428-0200 | |
Not Available |
Full Name | Allina Health Lakeville South Clinic |
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Speciality | Clinic/Center |
Location | 20795 Keokuk Ave, Lakeville, Minnesota |
Authorized Official Name and Position | Dominica Tallarico (COO) |
Authorized Official Contact | 6122222222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Allina Health Lakeville South Clinic Po Box 43 Mr 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health Lakeville South Clinic 20795 Keokuk Ave Lakeville MN 55044-6004 Ph: (952) 428-0200 |
NPI Number | 1548200405 |
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Provider Enumeration Date | 06/08/2006 |
Last Update Date | 03/22/2024 |
Medicare PECOS PAC ID | 4587573613 |
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Medicare Enrollment ID | O20140123000658 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548200405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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