| NPI | 1851425227 |
|---|---|
| Doing Business As | LAKEVILLE INTEGRATIVE MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK D RIEB CEO 952-892-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MN 31345) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |