| Lake City Family Physicians Pc | |
|
2854 Highway 55 Suite 130 Eagan MN 55121-2156 | |
| (651) 842-3328 | |
| (651) 842-3391 |
| Full Name | Lake City Family Physicians Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2854 Highway 55, Eagan, Minnesota |
| Authorized Official Name and Position | Douglas David Pflaum (PRESIDENT) |
| Authorized Official Contact | 6518423328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake City Family Physicians Pc 507 W Doughty St Lake City MN 55041-1500 Ph: (651) 842-3328 | Lake City Family Physicians Pc 2854 Highway 55 Suite 130 Eagan MN 55121-2156 Ph: (651) 842-3328 |
| NPI Number | 1730485582 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 01/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730485582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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