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

Northern Lakes Surgery Center LLC

Organization Anesthesiology Physician · NPI 1942914049

Northern Lakes Surgery Center LLC is an Anesthesiology Physician in Moose Lake, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
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) 249-5555
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1942914049
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 12, 2023
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address915 E 1st St, Duluth, MN 55805-2107