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ADVANCED MEDICAL LLC
NPI 1376390062
General Practice in Lakeland, MN

Active since May 01, 2024
755 QUALITY AVE N, LAKELAND, MN 55043(619) 710-9543 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Advanced Medical Llc NPPES

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

ADVANCED MEDICAL LLC (NPI 1376390062) is a healthcare organization registered as a general practice in Lakeland, Minnesota and active in the NPI registry since May 2024. The organization lists Lacie Bauer, Manager, as its authorized official.

NPPES Registry Identity

NPI1376390062
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameADVANCED MEDICAL LLC
Location Address755 QUALITY AVE NLakeland, MN 55043-9613
Mailing Address755 Quality Ave NLakeland, MN 55043-9613
Phone(619) 710-9543
Organization SubpartNo
Authorized OfficialLacie BauerManager · (619) 710-9543
Enumeration DateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1376390062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPsychologistTaxonomy 103T00000X
Also ListedDentistTaxonomy 122300000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedAudiologistTaxonomy 231H00000X
755 QUALITY AVE N, Lakeland, MN 55043
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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Frequently Asked Questions

What is ADVANCED MEDICAL LLC's NPI number?

The NPI number assigned to this healthcare provider is 1376390062, enumerated as an "organization" on May 01, 2024.

Where is the provider located?

The provider is located at 755 QUALITY AVE N LAKELAND, MN 55043 and the phone number is (619) 710-9543.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.