Organization
LAKES INTERNATIONAL LANGUAGE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH A WALL MA (DIRECTOR OF SPECIAL EDUCATION)
(651) 357-4881
Entity
Organization
Contact information
Practice address
246 11TH AVE SE, FOREST LAKE, MN 55025-1883
(651) 464-0771
(651) 464-4429
Mailing address
246 11TH AVE SE, FOREST LAKE, MN 55025-1883
(651) 464-0771
(651) 464-4429
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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