| NPI | 1134787930 |
|---|---|
| Doing Business As | SANFORD HEALTH LAKE PARK CLINIC |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2020-06-29 |