Organization
DAGAN WELLNESS LLC
Active
Other names
LAKE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN LEE DENARDO (OWNER)
(952) 210-7996
Entity
Organization
Contact information
Practice address
311 W LAKE ST, MINNEAPOLIS, MN 55408-3026
(952) 210-7996
Mailing address
311 W LAKE ST, MINNEAPOLIS, MN 55408-3026
(952) 210-7996
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2016
Last updated
06/05/2025
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