Lifespark Medical Group, PA
Lifespark Medical Group, PA is an Adult Medicine Physician in St Louis Park, Minnesota. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5320 W 23rd St Ste 130St Louis Park, MN 55416-1670
Phone: (952) 345-3310
Fax: (952) 345-8771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X |
|---|---|
| Adult Medicine Physician | Taxonomy 207QA0505X |
Record details
| NPI number | 1437930278 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Authorized official | Catherine Lauring — Vice President · (952) 345-3213 |
| Other names | Lifespark Medical Group |
| NPI enumerated | October 9, 2023 |
| Last updated in NPPES | October 9, 2023 |
| Certification date | October 9, 2023 |
| Mailing address | 5320 W 23rd St Ste 130, St Louis Park, MN 55416-1670 |