| Allina Health Lakeville North Clinic | |
|
17489 Dodd Blvd Lakeville MN 55044-4409 | |
| (612) 262-1166 | |
| Not Available |
| Full Name | Allina Health Lakeville North Clinic |
|---|---|
| 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 |
|---|---|
| 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: (612) 262-1166 |
| NPI Number | 1407546872 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 4587573613 |
|---|---|
| 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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