Organization
LAKEVILLE INTEGRATIVE MEDICINE CLINIC
Active
Other names
Lakeville Integrative Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D RIEB MD, NMD (CEO)
(952) 892-6700
Entity
Organization
Contact information
Practice address
16372 KENRICK AVE, SUITE 100, LAKEVILLE, MN 55044-3540
(952) 892-6700
(952) 892-9475
Mailing address
16372 KENRICK AVE, SUITE 100, LAKEVILLE, MN 55044-3540
(952) 892-6700
(952) 892-9475
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
31345
MN
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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