Organization
LAKEWOOD HEALTH SYSTEM
Active
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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