Lakeville Family Practice - Primary Care in Lakeville, MN

Lakeville Family Practice is a primary clinic (Clinic/center - Primary Care) in Lakeville, Minnesota. The current practice location for Lakeville Family Practice is 20157 Icenic Trail, Lakeville, Minnesota. For appointments, you can reach them via phone at (952) 469-3393. The mailing address for Lakeville Family Practice is 20157 Icenic Trail, Lakeville, Minnesota and phone number is (952) 469-3393.

Lakeville Family Practice is licensed to practice in Minnesota (license number 6208286) and its NPI number is 1629244686. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (952) 469-3393.

Contact Information

Lakeville Family Practice
20157 Icenic Trail
Lakeville
MN 55044
(952) 469-3393
(952) 469-3399

Primary Care Clinic Profile

Full NameLakeville Family Practice
SpecialityClinic/center - Primary Care
Location20157 Icenic Trail, Lakeville, Minnesota
Authorized Official Name and PositionMark S. Mellstrom (OWNER)
Authorized Official Contact9524693393
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lakeville Family Practice
20157 Icenic Trail
Lakeville
MN 55044

Ph: (952) 469-3393
Lakeville Family Practice
20157 Icenic Trail
Lakeville
MN 55044

Ph: (952) 469-3393

NPI Details:

NPI Number1629244686
Provider Enumeration Date04/30/2008
Last Update Date04/30/2008

Medical Identifiers

Medical identifiers for Lakeville Family Practice such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629244686NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 6208286 (Minnesota)Primary

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