Statements: Lakeview Health Clinic PLLC.

Canonical ID: us-mednd-99555ca62f1b04df45bf2abb7a622d2a128369bb · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:address2050 36th Ave SW Ste 201 Minot, ND 58701engus_nd_med_exclusionsus-mednd-99555ca62f1b04df45bf2abb7a622d2a128369bb
LegalEntity:countryusengus_nd_med_exclusionsus-mednd-99555ca62f1b04df45bf2abb7a622d2a128369bb
LegalEntity:descriptionMedicaid Provider ID: 1475416engus_nd_med_exclusionsus-mednd-99555ca62f1b04df45bf2abb7a622d2a128369bb
LegalEntity:id71110af3c993247e3b601d13e2368a4fd1b7a951engus_nd_med_exclusionsus-mednd-99555ca62f1b04df45bf2abb7a622d2a128369bb
LegalEntity:nameLakeview Health Clinic PLLC.engus_nd_med_exclusionsus-mednd-99555ca62f1b04df45bf2abb7a622d2a128369bb
LegalEntity:npiCode1841777273engus_nd_med_exclusionsus-mednd-99555ca62f1b04df45bf2abb7a622d2a128369bb
LegalEntity:sectorAmbulatory Health Care Facilityengus_nd_med_exclusionsus-mednd-99555ca62f1b04df45bf2abb7a622d2a128369bb
LegalEntity:topicsdebarmentengus_nd_med_exclusionsus-mednd-99555ca62f1b04df45bf2abb7a622d2a128369bb
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