ADVANCED MEDICAL LLC NPI 1376390062

NPI Information

  • NPI: 1376390062
  • Provider Name: ADVANCED MEDICAL LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 755 QUALITY AVE N
    LAKELAND, MN
    ZIP 55043
  • Phone: (619) 710-9543

Map and Directions

Get Directions

NPI Details

ADVANCED MEDICAL LLC is a general practice in Lakeland, MN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ADVANCED MEDICAL LLC NPI is 1376390062. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

755 QUALITY AVE N
LAKELAND, MN
ZIP 55043-613
Phone: (619) 710-9543

The provider's authorized official is Lacie Bauer .
The authorized official title is Manager and has the following contact phone number (619) 710-9543.

The enumeration date for this NPI number is 5/1/2024 and was last updated on 5/1/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
2122300000XDentistNo
3207W00000XOphthalmologyNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5208D00000XGeneral PracticeYes
6231H00000XAudiologistNo

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI