| Fairview Clinics-lakeville | |
|
18580 Joplin Ave Lakeville MN 55044-4218 | |
| (952) 892-9555 | |
| (952) 892-9505 |
| Full Name | Fairview Clinics-lakeville |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 18580 Joplin Ave, Lakeville, Minnesota |
| Authorized Official Name and Position | Maureen Ring (DIRECTOR NETWORK RELATIONS AO) |
| Authorized Official Contact | 6126726740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Clinics-lakeville Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | Fairview Clinics-lakeville 18580 Joplin Ave Lakeville MN 55044-4218 Ph: (952) 892-9555 |
| NPI Number | 1851583637 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851583637 | NPI | - | NPPES |
| 068403100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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