South Lake Pediatrics

LBN: South Lake Clinic, Pa
South Lake Pediatrics is an health care organization with primary practice located at 12000 Elm Creek Blvd N Ste 250 , Maple Grove MN 55369-7164. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. South Lake Clinic, Pa can be contacted via phone (952) 401-8300, or through Northrup, Heidi via phone (952) 401-8300.

Contact Information

Primary practice address
12000 Elm Creek Blvd N Ste 250 Maple Grove MN 55369-7164
Phone: (952) 401-8300
Fax: (952) 401-8243
Website:
Map and Directions
Authorized official contact:
Name: Northrup, Heidi MHA
Phone: (952) 401-8300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1770914095
LBN Legal business name South Lake Clinic, Pa
DBA Doing business as South Lake Pediatrics
Authorized official Northrup, Heidi MHA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2013
Last updated Aug 29th, 2023 - about last year

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.

Request for update

Popular Providers