| NPI | 1548200405 |
|---|---|
| Doing Business As | ALLINA HEALTH LAKEVILLE SOUTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | DOMINICA TALLARICO COO 612-222-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-03-22 |