Organization
LIFESTREAM WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN BAKER-MCLAUGHLIN L.AC (OWNER, LICENSED ACUPUNCTURIST)
(651) 338-3574
Entity
Organization
Contact information
Practice address
3440 FEDERAL DR, SUITE 140, EAGAN, MN 55122-3501
(651) 338-3574
Mailing address
240 SPRING ST UNIT 408, SAINT PAUL, MN 55102-4704
(651) 338-3574
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1772
MN
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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