| NPI | 1912998089 |
|---|---|
| Doing Business As | LAKEWOOD CLINIC MOTLEY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH T REYCRAFT CFO 218-894-8194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2025-06-09 |