Statements: Lakeview Health Clinic PLLC.

Canonical ID: us-mednd-cf00f2ed1acc037b058e25ee3e69b4bdb1413024 · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:address2050 36th Ave SW Ste 201 Minot, ND 58701engus_nd_med_exclusionsus-mednd-cf00f2ed1acc037b058e25ee3e69b4bdb1413024
LegalEntity:countryusengus_nd_med_exclusionsus-mednd-cf00f2ed1acc037b058e25ee3e69b4bdb1413024
LegalEntity:descriptionOwners: Desiree Desjardinsengus_nd_med_exclusionsus-mednd-cf00f2ed1acc037b058e25ee3e69b4bdb1413024
LegalEntity:descriptionMedicaid Provider ID: 1475416engus_nd_med_exclusionsus-mednd-cf00f2ed1acc037b058e25ee3e69b4bdb1413024
LegalEntity:idba9f38b1b781646b95947189be8e3c9b98730d13engus_nd_med_exclusionsus-mednd-cf00f2ed1acc037b058e25ee3e69b4bdb1413024
LegalEntity:nameLakeview Health Clinic PLLC.engus_nd_med_exclusionsus-mednd-cf00f2ed1acc037b058e25ee3e69b4bdb1413024
LegalEntity:npiCode1841777273engus_nd_med_exclusionsus-mednd-cf00f2ed1acc037b058e25ee3e69b4bdb1413024
LegalEntity:sectorAmbulatory Health Care Facilityengus_nd_med_exclusionsus-mednd-cf00f2ed1acc037b058e25ee3e69b4bdb1413024
LegalEntity:topicsdebarmentengus_nd_med_exclusionsus-mednd-cf00f2ed1acc037b058e25ee3e69b4bdb1413024
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