NPI | 1003683244 |
---|---|
Doing Business As | ALLINA HEALTH LAKEVILLE SPECIALTY CENTER |
Entity Type | Organization |
Authorized Contact | DOMINICA TALLARICO COO 612-222-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207N00000X Dermatology |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
207RR0500X Internal Medicine, Rheumatology | |
207X00000X Orthopaedic Surgery | |
208600000X Surgery | |
2086S0122X Surgery, Plastic and Reconstructive Surgery | |
Enumeration Date | 2023-12-07 |
Last Update Date | 2025-01-14 |