Provider Demographics
NPI:1588005425
Name:POMEROY NATURAL HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:POMEROY NATURAL HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATH/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:POMEROY
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:651-773-7916
Mailing Address - Street 1:3880 LAVERNE AVE N
Mailing Address - Street 2:SUITE #120
Mailing Address - City:LAKE ELMO
Mailing Address - State:MN
Mailing Address - Zip Code:55042-9627
Mailing Address - Country:US
Mailing Address - Phone:651-773-7916
Mailing Address - Fax:
Practice Address - Street 1:3880 LAVERNE AVE N
Practice Address - Street 2:SUITE #120
Practice Address - City:LAKE ELMO
Practice Address - State:MN
Practice Address - Zip Code:55042-9627
Practice Address - Country:US
Practice Address - Phone:651-773-7916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty