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Organization

LIFESTREAM WELLNESS, LLC

Active
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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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