| NPI | 1841280823 |
|---|---|
| Doing Business As | LAKEWOOD CLINIC STAPLES |
| Entity Type | Organization |
| Authorized Contact | CRAIG WOLHOWE Vice President 218-894-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MN 727) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2017-05-22 |