Organization
SOUTHERN GENERAL CONTRACTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER LEWIS (OWNER/ GC)
(612) 859-5915
Entity
Organization
Contact information
Practice address
16397 173RD AVE SE, BIG LAKE, MN 55309-4554
(612) 859-5915
Mailing address
16397 173RD AVE SE, BIG LAKE, MN 55309-4554
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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