L.d.d., Inc.

NPI 1255359154 - Counselor - 101YA0400X

NPI Details
NPI 1255359154
Enumeration Date 07/18/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SAMUEL L. SAMUEL
Position EXECUTIVE VICE PRESIDENT
Phone (763) 531-9488
Fax (763) 531-9591
Practice Location
5810 42ND AVE N
ROBBINSDALE MN, 55422-1634, US
Phone (763) 531-9488
Fax (763) 531-9591
Business Location
5810 42ND AVE N
ROBBINSDALE MN, 55422-1634, US
Phone (763) 531-9488
Fax (763) 531-9591
Toxanomy
Taxonomy Code 101YA0400X
License State Minnesota
License Number 8070981CDT
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According to our database, L.d.d., Inc. NPI is 1255359154, taxonomy code is 101YA0400X and license number is 8070981CDT, license state is located at Minnesota. L.d.d., Inc. physically located at 5810 42nd Ave N, Robbinsdale MN, 55422-1634. NPI Number 1033115704 has the healthcare provider type.

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1255359154 NPI number is provided on an as is basis without warranty of any kind. 1255359154 is maintained by the National Plan & Provider Enumeration System. The contents of L.d.d., Inc. are for informational purposes only.