NPI 1003683244 · live from the CMS NPI Registry
Allina Health System
Internal Medicine in Lakeville, MN. National Provider Identifier 1003683244, active.
NPI record
| NPI | 1003683244 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 18465 Orchard Trl, Lakeville, MN 55044 |
| Practice phone | 952-428-0950 |
| Mailing address | Po Box 43, Mail Route 10585, Minneapolis, MN 55440 |
| Enumerated | December 7, 2023 |
| Last updated | January 14, 2025 |
| Authorized official | Dominica Tallarico, Coo |
| Other names | Allina Health Lakeville Specialty Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | — |
| Internal Medicine primary | 207R00000X | — |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | — |
| Internal Medicine, Rheumatology | 207RR0500X | — |
| Orthopaedic Surgery | 207X00000X | — |
| Surgery | 208600000X | — |
| Surgery, Plastic and Reconstructive Surgery | 2086S0122X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.