OrganizationActive
Lakeside Floor Coverings, Inc.
NPI 1124646740 · Home Modifications Contractor · Fridley, MN
Provider details
- NPI number
- 1124646740
- Entity type
- Organization
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Keia Isaacson, President(763) 503-0100
Specialties & taxonomies
Other Service Providers
Practice location
7500 University Ave Ne Ste 1
Fridley, MN 55432-2657
Phone: (763) 503-0100
Fax: (763) 503-4778
Approximate (ZIP-level) locationGet directions
Mailing address
7500 University Ave Ne Ste 1
Fridley, MN 55432-2657
Registry dates
- Enumerated
- 2020-07-09
- Last updated
- 2020-07-09
- Certified
- 2020-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.