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Northern Lakes Surgery Center LLC — NPI 1649922485, Moose Lake, MN | NPI Central

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NPI 1649922485

OrganizationActive

Northern Lakes Surgery Center LLC

NPI 1649922485 · Ambulatory Surgical Clinic/Center · Moose Lake, MN

Provider details

NPI number: 1649922485
Entity type: Organization
Primary specialty: Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Lori Peck, Svp- Chief Financial Officer(715) 847-2575

Specialties & taxonomies

Ambulatory Surgical Clinic/CenterPrimary261QA1903X
Ambulatory Health Care Facilities

Practice location

4791 County Road 10

Moose Lake, MN 55767-9221

Phone: (218) 249-5357

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

915 E 1st St

Duluth, MN 55805-2107

Other names (DBA / former)

Doing business as: Northern Lakes Surgery Center LLC

Registry dates

Enumerated: 2022-01-24
Last updated: 2026-03-11
Certified: 2026-03-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.