Provider Demographics
NPI:1710033725
Name:MINNESOTA ALLERGY AND ASTHMA CONSULTANTS, PLLC
Entity Type:Organization
Organization Name:MINNESOTA ALLERGY AND ASTHMA CONSULTANTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:LAKIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MD
Authorized Official - Phone:952-223-3404
Mailing Address - Street 1:675 E NICOLLET BLVD
Mailing Address - Street 2:SUITE #250
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-6741
Mailing Address - Country:US
Mailing Address - Phone:952-223-3404
Mailing Address - Fax:952-223-3041
Practice Address - Street 1:675 E NICOLLET BLVD
Practice Address - Street 2:SUITE #250
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-6700
Practice Address - Country:US
Practice Address - Phone:952-223-3404
Practice Address - Fax:952-223-3041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty