Organization
NORTHERN LAKES CLINIC, INC.
Active
Organization
NORTHERN LAKES CLINIC, INC.
Active
Other names
Northern Lakes Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOIS COCHRANE SCHLUTTER PH.D. (CEO & OWNER)
(952) 925-5344
Entity
Organization
Contact information
Practice address
301 AMERICA AVE NW, BEMIDJI, MN 56601-3120
(218) 755-5170
(218) 751-1194
Mailing address
6200 EXCELSIOR BLVD, SUITE 202, ST LOUIS PARK, MN 55416-2730
(952) 925-5344
(952) 548-9350
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1045771-1-CDT
MN
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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