Organization
ALLINA HEALTH SYSTEM
Active
Other names
Allina Health Lakeville South Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
20795 KEOKUK AVE, LAKEVILLE, MN 55044-6004
(952) 428-0200
Mailing address
PO BOX 43, MR 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2006
Last updated
02/24/2025
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