Individual
IDMAN OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5378 178TH ST W, LAKEVILLE, MN 55044-5180
(507) 202-4730
Mailing address
5378 178TH ST W, LAKEVILLE, MN 55044-5180
(507) 202-4730
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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