Organization
LAKESIDE MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX T. BLAUFUSS (CEO)
(320) 629-2542
Entity
Organization
Contact information
Practice address
129 6TH AVE SE, PINE CITY, MN 55063-1913
(320) 629-2542
Mailing address
129 6TH AVE SE, PINE CITY, MN 55063-1913
(320) 629-2542
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
338462
MN
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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