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

Organization Multi-Specialty Clinic/Center · NPI 1215090501

Bloomington Lake Clinic, Ltd is a Multi-Specialty Clinic/Center in Bloomington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7901 Xerxes Ave S Ste 116
Bloomington, MN 55431-1200
Phone: (952) 888-2024
Fax: (952) 888-3985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X · Licence 23 (MN)

Record details

NPI number1215090501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Barger — Assistant Administrator · (612) 277-2165
NPI enumeratedDecember 18, 2006
Last updated in NPPESApril 4, 2011
Mailing address7901 Xerxes Ave S Ste 116, Bloomington, MN 55431-1200

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