Booth, Lola Marie

Booth, Lola Marie is an sole proprietor health care provider with primary practice located at 921 8Th St Se , Detroit Lakes MN 56501-2840. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Booth, Lola Marie can be contacted via phone (218) 844-9730.

Contact Information

Primary practice address
921 8Th St Se Detroit Lakes MN 56501-2840
Phone: (218) 844-9730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305800 Minnesota

Profile Details

NPI number 1093480949
LBN Legal business name Booth, Lola Marie
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2021
Last updated Oct 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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