Provider Demographics
NPI:1427590553
Name:LAKETOWN LANGUAGE, LLC
Entity Type:Organization
Organization Name:LAKETOWN LANGUAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NASIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-246-0239
Mailing Address - Street 1:2817 ANTHONY LN S
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ST ANTHONY
Mailing Address - State:MN
Mailing Address - Zip Code:55418-3254
Mailing Address - Country:US
Mailing Address - Phone:619-246-0239
Mailing Address - Fax:
Practice Address - Street 1:2817 ANTHONY LN S
Practice Address - Street 2:SUITE 106
Practice Address - City:ST ANTHONY
Practice Address - State:MN
Practice Address - Zip Code:55418-3254
Practice Address - Country:US
Practice Address - Phone:619-246-0239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty