Lifetree Clinic

LBN: Lifetree Clinic
Lifetree Clinic is an health care organization with primary practice located at 14585 Grand Ave Suite 206, Burnsville MN 55306-5719. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Other Service Providers / Acupuncturist is the primary health care specialty. Lifetree Clinic can be contacted via phone (952) 435-7349, or through Tae, Kyu Hong via phone (612) 723-2042.

Contact Information

Primary practice address
14585 Grand Ave Suite 206 Burnsville MN 55306-5719
Phone: (952) 435-7349
Fax: (952) 417-6159
Website:
Map and Directions
Authorized official contact:
Name: Tae, Kyu Hong Licensed Acupuncturist (LAC)
Phone: (612) 723-2042

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 1529 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 0082 Minnesota

Profile Details

NPI number 1972860526
LBN Legal business name Lifetree Clinic
DBA Doing business as
Authorized official Tae, Kyu Hong Licensed Acupuncturist (LAC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2012
Last updated Apr 17th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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