Lakeville Family Practice

LBN: Mark S Mellstrom Md Pa
Lakeville Family Practice is an health care organization with primary practice located at 20157 Icenic Trail , Lakeville MN 55044. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Mark S Mellstrom Md Pa can be contacted via phone (952) 469-3393, or through Mellstrom, Mark S. via phone (952) 469-3393.

Contact Information

Primary practice address
20157 Icenic Trail Lakeville MN 55044
Phone: (952) 469-3393
Fax: (952) 469-3399
Website:
Map and Directions
Authorized official contact:
Name: Mellstrom, Mark S. Doctor of Medicine (MD)
Phone: (952) 469-3393

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 6208286 Minnesota

Profile Details

NPI number 1629244686
LBN Legal business name Mark S Mellstrom Md Pa
DBA Doing business as Lakeville Family Practice
Authorized official Mellstrom, Mark S. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2008
Last updated Apr 30th, 2008 - about 18 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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