FOREST LAKE SKIN AND VEIN CLINIC
NPI 1013153907
Clinic/Center - Primary Care in Forest Lake, MN

Active since December 23, 2008
280 12TH ST SW, SUITE A, FOREST LAKE, MN 55025(651) 464-7273(651) 464-7969 Get Directions Write a Review

NPPES record last updated: December 23, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Forest Lake Skin And Vein Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOREST LAKE SKIN AND VEIN CLINIC (NPI 1013153907) is a healthcare organization registered as a primary care in Forest Lake, Minnesota and active in the NPI registry since December 2008. The organization lists Lesa Renae Stegner, President, as its authorized official.

NPPES Registry Identity

NPI1013153907
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFOREST LAKE SKIN AND VEIN CLINIC
Location Address280 12TH ST SW, SUITE AForest Lake, MN 55025-3778
Mailing Address280 12th St Sw, Suite AForest Lake, MN 55025-3778 · (651) 464-7273 · Fax (651) 464-7969
Fax(651) 464-7969
Organization SubpartNo
Authorized OfficialLesa Renae StegnerPresident · (651) 464-7273
Enumeration DateDecember 23, 2008
NPI 1013153907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
280 12TH ST SW, Forest Lake, MN 55025

Other Identifiers 2

Medicare UPINH70496MN
Medicare UPINQ00953MN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
280 12TH ST SW
FOREST LAKE, MN 55025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Forest Lake Skin And Vein Clinic's NPI number?

The NPI number for Forest Lake Skin And Vein Clinic is 1013153907. It was assigned to this organization in the NPPES registry on December 23, 2008.

Where is Forest Lake Skin And Vein Clinic located?

Forest Lake Skin And Vein Clinic is located at 280 12th St SW Suite A, Forest Lake, MN 55025. The listed phone number is (651) 464-7273.

What is Forest Lake Skin And Vein Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Forest Lake Skin And Vein Clinic was last updated on December 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.