Organization
LAKE CITY DENTAL P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LEWIS DDS (OWNER/DENTIST)
(507) 993-4713
Entity
Organization
Contact information
Practice address
210 N LAKESHORE DR, LAKE CITY, MN 55041-1551
(651) 345-4677
Mailing address
6037 S POINTE DR SW, ROCHESTER, MN 55902-2545
(507) 993-4713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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