| Lifestream Wellness, Llc | |
|
3440 Federal Dr Suite 140 Eagan MN 55122-3501 | |
| (651) 338-3574 | |
| Not Available |
| Full Name | Lifestream Wellness, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3440 Federal Dr, Eagan, Minnesota |
| Authorized Official Name and Position | Jean Baker-mclaughlin (OWNER, LICENSED ACUPUNCTURIST) |
| Authorized Official Contact | 6513383574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestream Wellness, Llc 240 Spring St Unit 408 Saint Paul MN 55102-4704 Ph: (651) 338-3574 | Lifestream Wellness, Llc 3440 Federal Dr Suite 140 Eagan MN 55122-3501 Ph: (651) 338-3574 |
| NPI Number | 1396282794 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 01/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396282794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1772 (Minnesota) | Primary |
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