Organization
LAKEWIND, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE NELOSN (OWNER)
(218) 728-2209
Entity
Organization
Contact information
Practice address
1624 JEFFERSON ST, DULUTH, MN 55812-1613
(218) 728-2209
Mailing address
1624 JEFFERSON ST, DULUTH, MN 55812-1613
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
810357
MN
Other
Enumeration date
06/09/2006
Last updated
08/22/2020
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