LAKEVILLE INTEGRATIVE MEDICINE CLINIC
Organization (NPI-2)
Active
Clinic/Center, Medical Specialty
Provider Information
- NPI Number
1851425227- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 16372 KENRICK AVE SUITE 100, LAKEVILLE, MN, 550443540
- Phone
- (952) 892-6700
- Fax
- (952) 892-9475
Specialties & Taxonomies
Clinic/Center, Medical Specialty
Primary License: MN #31345