NPI 1265148480
Lake Region Healthcare Corporation
Practice location
- Address
- 301 E Lincoln Ave, Fergus Falls, MN 56537-2238
- Phone
- (218) 736-3972
- Mailing address
- 712 S Cascade St, Fergus Falls, MN 56537-2913
Authorised official
- Name
- Kent Mattson
- Title
- Ceo
- Phone
- (218) 736-8090
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1265148480
- Entity type
- Organization
- NPI issued
- 31 Jan 2023
- Record last updated
- 19 Aug 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.