# LAKEWIND, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538100920
- **Authorized official:** JACQUELINE NELOSN (OWNER)
- **Authorized official phone:** (218) 728-2209

## Contact information

- **Practice address:** 1624 JEFFERSON ST, DULUTH, MN 55812-1613
- **Practice address phone:** (218) 728-2209
- **Mailing address:** 1624 JEFFERSON ST, DULUTH, MN 55812-1613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 810357 | MN | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 08/22/2020