Organization · Type 2 NPI
Longville Lakes Clinic, Inc.
Clinic/Center · Baxter, MN
NPI number
1801229000
Active
Practice location
13205 Isle Drive
Baxter, MN 56425
Fax (218) 546-4645
Mailing address
320 E Main St
Crosby, MN 56441-1645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1801229000
Longville Lakes Clinic, Inc.'s National Provider Identifier is 1801229000, issued on Aug 12, 2013. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Baxter, MN. The record was last updated on Jan 4, 2022.