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Contact Information

LTC PROFESSIONALS, PLLC
7801 EAST BUSH LAKE RD
SUITE 400
BLOOMINGTON, MN55439
 Phone: 952-479-4261
 Fax: 866-991-7241
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Acupuncturist

171100000X
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Health Service

261QH0100X
 

Pain

261QP3300X
Indicates primary specialty

NPI Profile & details for LTC PROFESSIONALS, PLLC

NPI # 1417251935
LBN Legal business name LTC PROFESSIONALS, PLLC
Authorized official KURT LARSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/23/2010
Last updated 07/25/2024 - More than a year ago
Identifiers
TN Other 535 TONIC BIOREGULATORY MEDICINE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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