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Contact Information

IAN J LALICH, MD
6401 UNIVERSITY AVE NE
FRIDLEY, MN55432-4341
 Phone: 612-626-5900
 Fax: 612-884-0659
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Sleep Medicine

207YS0012X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for IAN J LALICH · (Male)

NPI # 1285955203
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2010
Last updated 02/02/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 54175
  • MN Medicaid ENROLLED
Hospital affiliation(s)
  • FAIRVIEW LAKES MEDICAL CENTER - (Acute Care)
    5200 FAIRVIEW BOULEVARD
    WYOMING, MN 55092
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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