# LAKES REGIONAL HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera Medical Group - Lakes Family Practice a Department of Lakes Regi
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306100615
- **Authorized official:** MR. STEVE J ALGER (SR VP AND CFO)
- **Authorized official phone:** (712) 336-8796

## Contact information

- **Practice address:** 2700 23RD ST STE C, SPIRIT LAKE, IA 51360-1158
- **Practice address phone:** (712) 336-3750
- **Practice address fax:** (712) 336-3730
- **Mailing address:** 2700 23RD ST STE C, SPIRIT LAKE, IA 51360-1158
- **Mailing address phone:** (712) 336-3750
- **Mailing address fax:** (712) 336-3730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | IA | Yes |

## Other

- **Enumeration date:** 07/02/2012
- **Last updated:** 10/25/2012
