Organization
CASS LAKE INDIAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAWNYA MARIE JENSEN (MLT)
(218) 335-3200
Entity
Organization
Contact information
Practice address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3200
Mailing address
45587 US 71, LAPORTE, MN 56461-4900
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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