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

Lakeshore Pediatric Therapy, Inc

Organization Speech-Language Pathologist · NPI 1588090179

Lakeshore Pediatric Therapy, Inc is a Speech-Language Pathologist in Minnetonka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13304 Loveland Cir
Minnetonka, MN 55305-2306
Phone: (612) 202-5132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 8141 (MN)

Record details

NPI number1588090179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Diaz — Director · (612) 202-5132
NPI enumeratedSeptember 16, 2013
Last updated in NPPESSeptember 16, 2013
Mailing address13304 Loveland Cir, Minnetonka, MN 55305-2306

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