Organization
LAZULI SERVICES LLC
Active
Other names
Lazuli Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FADUMO BASHIR ABDISALAN (OWNER)
(651) 347-0043
Entity
Organization
Contact information
Practice address
671 AMERICAN BLVD E APT 7, BLOOMINGTON, MN 55420-1385
(651) 347-0043
(651) 846-5580
Mailing address
671 AMERICAN BLVD E APT 7, BLOOMINGTON, MN 55420-1385
(651) 347-0043
(651) 846-5580
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/15/2022
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