Organization
INTEGRATED WOUND CARE MINNESOTA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LUSAS MD (PRESIDENT)
(212) 734-6621
Entity
Organization
Contact information
Practice address
433 COUNTY ROAD 30 SE, DELANO, MN 55328-9000
(718) 705-6010
Mailing address
492C CEDAR LN STE 514, TEANECK, NJ 07666-1713
(718) 705-6010
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/12/2026
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