NPI 1457176729

Purepath Healing Services LLC

Organisation Clinic/Center Lake Elmo, MN

Practice location

Address: 202 Jean Ave N, Lake Elmo, MN 55042-5516
Phone: (612) 456-2069

Authorised official

Name: Luqman Ibrahim
Title: Owner
Phone: (612) 456-2069

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1457176729
Entity type: Organization
NPI issued: 20 Nov 2024
Record last updated: 20 Nov 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.