Provider First Line Business Practice Location Address:
103-15TH AVE SE
Provider Second Line Business Practice Location Address:
FAMILY HEALTH MEDICAL CLINIC LONSDALE
Provider Business Practice Location Address City Name:
LONSDALE
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55046-5001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-744-3245
Provider Business Practice Location Address Fax Number:
507-744-3247
Provider Enumeration Date:
12/15/2006