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Contact Information

LAKELAND PATHOLOGY
750 E 34TH ST
HIBBING, MN55746-2341
 Phone: 218-312-3002
 Fax: 218-312-3003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for LAKELAND PATHOLOGY · (Female)

NPI # 1720118714
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2007
Last updated 10/20/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 29005
  • MN Medicaid 979273200
  • MN Other 14784LA BLUE CROSS BLUE SHIELD
  • MN Other CS4970 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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