| NPI | 1861046971 |
|---|---|
| Doing Business As | LAKES ENT, A SERVICE OF ALOMERE HEALTH |
| Entity Type | Organization |
| Authorized Contact | CARL P VAAGENES Administrator 320-762-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-09-16 |