Organization
LAKEWOOD HEALTH CENTER
Active
Other names
CHI Lakewood Health
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY A STAMPOHAR (PRESIDENT)
(218) 634-2120
Entity
Organization
Contact information
Practice address
600 MAIN AVE S, BAUDETTE, MN 56623-2855
(218) 634-3434
(218) 634-3431
Mailing address
600 MAIN AVE S, BAUDETTE, MN 56623-2855
(218) 364-3434
(218) 634-3431
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08G14LA
CHILD & TEEN CHECKUPS
MN
Enumeration date
12/06/2006
Last updated
02/27/2020
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