Organization
LAKEWOOD HEALTH SYSTEM
Active
Parent organization
LAKEWOOD HEALTH SYSTEM
Other names
Lakewood Dermatology
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKEWOOD HEALTH SYSTEM
Authorized official
JOSEPH T REYCRAFT (CFO)
(218) 894-8194
Entity
Organization
Contact information
Practice address
161 19TH ST S STE 106, SARTELL, MN 56377
(320) 252-3376
(218) 898-7597
Mailing address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-1515
(218) 898-7596
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2011
Last updated
06/09/2025
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