Organization
LIBERTY HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ALLEN LAWRENCE MD (CLINICAL DIRECTOR)
(218) 779-7005
Entity
Organization
Contact information
Practice address
1361 WENNER RD, DETROIT LAKES, MN 56501-7918
(218) 396-6500
Mailing address
1361 WENNER RD, DETROIT LAKES, MN 56501-7918
(218) 396-6500
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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