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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