| Essentia Health Lakewalk Clinic | |
|
1502 London Rd Ste 102 Duluth MN 55812-1787 | |
| (218) 576-0100 | |
| (218) 576-0126 |
| Full Name | Essentia Health Lakewalk Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1502 London Rd Ste 102, Duluth, Minnesota |
| Authorized Official Name and Position | Kevin Boren (VP OF FINANCE) |
| Authorized Official Contact | 2187861009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health Lakewalk Clinic 1502 London Rd Ste 102 Duluth MN 55812-1787 Ph: (218) 576-0100 | Essentia Health Lakewalk Clinic 1502 London Rd Ste 102 Duluth MN 55812-1787 Ph: (218) 576-0100 |
| NPI Number | 1275839193 |
|---|---|
| Provider Enumeration Date | 02/10/2011 |
| Last Update Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275839193 | NPI | - | NPPES |
| 1275839193 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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