| Lake Region Healthcare Corporation | |
|
712 Cascade St. S. Fergus Falls MN 56537 | |
| (800) 439-6424 | |
| Not Available |
| Full Name | Lake Region Healthcare Corporation |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 712 Cascade St. S., Fergus Falls, Minnesota |
| Authorized Official Name and Position | Melissa Ells (EXECUTIVE DIRECTOR-AMBULATORY SERV.) |
| Authorized Official Contact | 5077796063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Region Healthcare Corporation 3200 Labore Rd Ste 104 Vadnais Heights MN 55110-5186 Ph: (651) 431-5995 | Lake Region Healthcare Corporation 712 Cascade St. S. Fergus Falls MN 56537 Ph: (800) 439-6424 |
| NPI Number | 1538053129 |
|---|---|
| Provider Enumeration Date | 06/06/2025 |
| Last Update Date | 07/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538053129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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