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ST. LUKE'S HOSPITAL OF DULUTH NPI 1497087126


NPI Information

NPI: 1497087126
Provider Name: ST. LUKE'S HOSPITAL OF DULUTH

Doing Business As: LESTER RIVER MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 24D2003972

Address:
6351 E. SUPERIOR ST.
DULUTH, MN
ZIP 55804
Phone: (218) 249-4500
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ST. LUKE'S HOSPITAL OF DULUTH is a family medicine in Duluth, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. LUKE'S HOSPITAL OF DULUTH NPI is 1497087126. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lester River Medical Clinic.

The provider's business location address is:

6351 E. SUPERIOR ST.
DULUTH, MN
ZIP 55804-545
Phone: (218) 249-4500
Fax: (218) 249-4555

The provider's authorized official is Eric Lohn .
The authorized official title is President/ceo and has the following contact phone number (218) 249-5475.

The CLIA number assigned to this NPI record is 24D2003972 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/5/2010 and was last updated on 12/2/2020.


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
1207Q00000XFamily 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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