Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allina Health System

Organization Family Medicine Physician · NPI 1447556261

Allina Health System is a Family Medicine Physician in Forest Lake, Minnesota. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

1540 Lake St S
Forest Lake, MN 55025-2628
Phone: (651) 464-7100
Fax: (651) 241-1515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1447556261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominica Tallarico — Coo · (612) 222-2222
Other names Allina Health Forest Lake Clinic; Allina Health Forest Lake Clinic
NPI enumeratedJanuary 27, 2011
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address2925 Chicago Ave, Route 10202, Minneapolis, MN 55407-1321

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