| Dr Henri P Lanctin, | |
|
2351 Connecticut Avenue South, Suite 200, Sartell, MN 56377 | |
| (320) 259-1411 | |
| Not Available |
| Full Name | Dr Henri P Lanctin |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 2351 Connecticut Avenue South, Sartell, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760425896 | NPI | - | NPPES |
| 340015396 | Other | MN | RAILROAD MEDICARE |
| 069722200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 41196 (Minnesota) | Primary |
| Entity Name | Prairie Lakes Health Care System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720166002 PECOS PAC ID: 8628987823 Enrollment ID: O20040202000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Henri P Lanctin, 1705 Grizzly Ln, Sartell, MN 56377-1693 Ph: () - | Dr Henri P Lanctin, 2351 Connecticut Avenue South, Suite 200, Sartell, MN 56377 Ph: (320) 259-1411 |
Dr. John Kazuo Matsuura, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Dr. Andrew Peter Windsperger, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Dr. Albert David Matthew, Urology Medicare: Not Enrolled in Medicare Practice Location: 2351 Connecticut Avenue South, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 | |
Dr. Christopher William Boelter, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Elizabeth A Phillips, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 | |
Lori Ann Pinke, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Dr. Shawn Michael Mcgee, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 |