South Lake Autism Center L. L. C. in Saint Paul, MN

South Lake Autism Center L. L. C. is a primary clinic (Clinic/center) in Saint Paul, Minnesota. The current practice location for South Lake Autism Center L. L. C. is 2147 University Ave W Ste 109, Saint Paul, Minnesota. For appointments, you can reach them via phone at (617) 992-1536. The mailing address for South Lake Autism Center L. L. C. is 2147 University Ave W Ste 109, Saint Paul, Minnesota and phone number is (617) 992-1536.

South Lake Autism Center L. L. C. is licensed to practice in * (Not Available) (license number ) and its NPI number is 1992521116. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (617) 992-1536.

Contact Information

	South Lake Autism Center L. L. C.
	2147 University Ave W Ste 109 Saint Paul MN 55114-1326
	(617) 992-1536
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	South Lake Autism Center L. L. C.
Speciality	Clinic/center
Location	2147 University Ave W Ste 109, Saint Paul, Minnesota
Authorized Official Name and Position	Shikhdoon Jama Warsame (OWNER)
Authorized Official Contact	6179921536
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
South Lake Autism Center L. L. C. 2147 University Ave W Ste 109 Saint Paul MN 55114-1326 Ph: (617) 992-1536	South Lake Autism Center L. L. C. 2147 University Ave W Ste 109 Saint Paul MN 55114-1326 Ph: (617) 992-1536

NPI Details:

NPI Number	1992521116
Provider Enumeration Date	12/03/2024
Last Update Date	12/03/2024

Medical Identifiers

Medical identifiers for South Lake Autism Center L. L. C. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992521116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Saint Paul, MN

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Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 275 Lexington Pkwy N, Saint Paul, MN 55104 Phone: 651-632-2194 Fax: 651-632-2195
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South Lake Autism Center L. L. C. - Primary Care in Saint Paul, MN