Organization · Type 2 NPI
Lakes Region Retina PC
Retina Specialist (Ophthalmology) Physician · Baxter, MN
NPI number
1376412684
Active
Practice location
13800 Bluestem Ct
Baxter, MN 56425
Fax (218) 580-4218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | None listed |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Another provider at this address
About NPI 1376412684
Lakes Region Retina PC's National Provider Identifier is 1376412684, issued on Nov 4, 2025. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Baxter, MN. The record was last updated on May 21, 2026.