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

Northern Lakes Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1649922485

Northern Lakes Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Moose Lake, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4791 County Road 10
Moose Lake, MN 55767-9221
Phone: (218) 249-5357
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1649922485
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Peck — Svp- Chief Financial Officer · (715) 847-2575
Other names Northern Lakes Surgery Center Llc
NPI enumeratedJanuary 24, 2022
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address915 E 1st St, Duluth, MN 55805-2107