Organization
NORTHERN LAKES SURGERY CENTER LLC
Active
Other names
NORTHERN LAKES SURGERY CENTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PECK (SVP- CHIEF FINANCIAL OFFICER)
(715) 847-2575
Entity
Organization
Contact information
Practice address
4791 COUNTY ROAD 10, MOOSE LAKE, MN 55767-9221
(218) 249-5357
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
03/11/2026
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