River Lake Clinic

LBN: River Lake Clinic Llc
River Lake Clinic is an health care organization with primary practice located at 4323 E Lake St , Minneapolis MN 55406-2307. The organization recently has 13 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty. River Lake Clinic Llc can be contacted via phone (612) 722-1003, or through Hanen-Smith, Michel E. via phone (612) 722-1003.

Contact Information

Primary practice address
4323 E Lake St Minneapolis MN 55406-2307
Fax: (612) 721-6336
Website:
Authorized official contact:
Name: Hanen-Smith, Michel E. O. D., M. S.

Profile Details

NPI number 1902932965
LBN Legal business name River Lake Clinic Llc
DBA Doing business as River Lake Clinic
Authorized official Hanen-Smith, Michel E. O. D., M. S.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Jan 30th, 2014 - about 10 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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