Organization
DIVISION OF INDIAN WORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKAYLA LIGHTFIELD (DOULA PROGRAM COORDINATOR)
(612) 279-6347
Entity
Organization
Contact information
Practice address
1001 E LAKE ST, MINNEAPOLIS, MN 55407-1616
(612) 279-6347
Mailing address
1001 E LAKE ST, MINNEAPOLIS, MN 55407-1616
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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