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MEDICINE LAKE CONSULTATION GROUPPLLC NPI 1881753564


NPI Information

NPI: 1881753564
Provider Name: MEDICINE LAKE CONSULTATION GROUP,PLLC

Doing Business As: LAKES CONSULTATION GROUP

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1155 FORD ROAD
UNIT B
ST LOUIS PARK, MN
ZIP 55426
Phone: (952) 378-1800
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MEDICINE LAKE CONSULTATION GROUP,PLLC is a psychiatry psychiatry neurology in St Louis Park, MN. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MEDICINE LAKE CONSULTATION GROUP,PLLC NPI is 1881753564. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lakes Consultation Group.

The provider's business location address is:

1155 FORD ROAD
UNIT B
ST LOUIS PARK, MN
ZIP 55426
Phone: (952) 378-1800
Fax: (952) 378-1714

The provider's authorized official is Ani C Ram .
The authorized official title is Office Manager and has the following contact phone number (952) 378-1800.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 1/23/2015.


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
1103TC0700XPsychologistClinical103TC0700XMINNESOTANo
22084P0800XPsychiatry & NeurologyPsychiatry2084P0800XYes

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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