Provider First Line Business Practice Location Address:
712 S CASCADE STREET
Provider Second Line Business Practice Location Address:
LAKE REGION HEALTHCARE CORPORATION
Provider Business Practice Location Address City Name:
FERGUS FALLS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-388-0224
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/19/2008