Organization · Type 2 NPI
Northern Lakes Surgery Center LLC
Ambulatory Surgical Clinic/Center · Moose Lake, MN
NPI number
1649922485
Active
Practice location
4791 County Road 10
Moose Lake, MN 55767-9221
Mailing address
915 E 1st St
Duluth, MN 55805-2107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
About NPI 1649922485
Northern Lakes Surgery Center LLC's National Provider Identifier is 1649922485, issued on Jan 24, 2022. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Moose Lake, MN. The record was last updated on Mar 11, 2026.