Organization
LAKE COUNTY
Active
Parent organization
LAKE COUNTY
Other names
Lake County Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE COUNTY
Authorized official
LISA BETH HANSON (DIRECTOR)
(218) 834-8400
Entity
Organization
Contact information
Practice address
616 3RD AVE, TWO HARBORS, MN 55616-1518
(218) 834-8401
Mailing address
616 3RD AVE, TWO HARBORS, MN 55616-1518
(218) 834-8401
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
662635100
MINNESOTA HEALTH CARE PROVIDER NUMBER
MN
Enumeration date
05/05/2008
Last updated
12/08/2025
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