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LIFESPARK MEDICAL GROUP PA NPI 1427551746


NPI Information

NPI: 1427551746
Provider Name: LIFESPARK MEDICAL GROUP, PA

Doing Business As: LIFESPRK HEALTH

Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
5320 W 23RD ST STE 130
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 345-8770
Get Directions

LIFESPARK MEDICAL GROUP, PA is a geriatric medicine family medicine in St Louis Park, MN. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. LIFESPARK MEDICAL GROUP, PA NPI is 1427551746. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lifesprk Health.

The provider's business location address is:

5320 W 23RD ST STE 130
ST LOUIS PARK, MN
ZIP 55416-670
Phone: (952) 345-8770
Fax: (952) 345-8871

The provider's authorized official is Catherine Ann Lauring .
The authorized official title is Ceo and has the following contact phone number (952) 345-3213.

The enumeration date for this NPI number is 3/13/2018 and was last updated on 5/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RG0300XInternal MedicineGeriatric MedicineNo
3363LA2200XNurse PractitionerAdult HealthNo
4363LF0000XNurse PractitionerFamilyNo
5363LG0600XNurse PractitionerGerontologyNo
6363LP2300XNurse PractitionerPrimary Care2385MINNESOTANo
7207QG0300XFamily MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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