Organization · Type 2 NPI

Bloomington Lake Clinic, Ltd

Multi-Specialty Clinic/Center · Bloomington, MN

NPI number 1215090501 Active

Practice location

7901 Xerxes Ave S Ste 116
Bloomington, MN 55431-1200

Call (952) 888-2024 Map

Fax (952) 888-3985

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X23 (MN)

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1215090501

Bloomington Lake Clinic, Ltd's National Provider Identifier is 1215090501, issued on Dec 18, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Bloomington, MN. The record was last updated on Apr 4, 2011.