Organization
MERITCARE MEDICAL GROUP
Active
Other names
MeritCare LaMoure
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M CARLSON (PAYOR RELATION COORDINATOR)
(701) 234-4811
Entity
Organization
Contact information
Practice address
107 2ND AVENUE NE, LAMOURE, ND 58458
(701) 883-5383
(701) 883-5113
Mailing address
107 2ND AVENUE NE, LAMOURE, ND 58458
(701) 883-5383
(701) 883-5113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2006
Last updated
10/15/2007
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