Allina Health Lakeville North Clinic | |
17489 Dodd Blvd Lakeville MN 55044-4409 | |
(952) 428-1020 | |
Not Available |
Full Name | Allina Health Lakeville North Clinic |
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Speciality | Family Medicine |
Location | 17489 Dodd Blvd, 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 North Clinic Po Box 43 Mail Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health Lakeville North Clinic 17489 Dodd Blvd Lakeville MN 55044-4409 Ph: (952) 428-1020 |
NPI Number | 1407546872 |
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Provider Enumeration Date | 05/10/2023 |
Last Update Date | 09/12/2024 |
Medicare PECOS PAC ID | 4587573613 |
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Medicare Enrollment ID | O20231220003623 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407546872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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