Lakes Area Health Center, Pllc | |
1440 Duckwood Dr Ste 200 Eagan MN 55122-1451 | |
(651) 203-4673 | |
(651) 203-5130 |
Full Name | Lakes Area Health Center, Pllc |
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Speciality | Clinic/Center |
Location | 1440 Duckwood Dr Ste 200, Eagan, Minnesota |
Authorized Official Name and Position | Grant Pylkas (CHAIRMAN) |
Authorized Official Contact | 6512385558 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lakes Area Health Center, Pllc 1440 Duckwood Dr Ste 200 Eagan MN 55122-1451 Ph: (651) 203-4673 | Lakes Area Health Center, Pllc 1440 Duckwood Dr Ste 200 Eagan MN 55122-1451 Ph: (651) 203-4673 |
NPI Number | 1467403030 |
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Provider Enumeration Date | 05/16/2006 |
Last Update Date | 01/12/2022 |
Medicare PECOS PAC ID | 9234179664 |
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Medicare Enrollment ID | O20050505000325 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467403030 | NPI | - | NPPES |
24D2153873 | Other | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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