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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAKE REGION HEALTHCARE CORPORATION
NPI 1902449309
Non-Pharmacy Dispensing Site in Elbow Lake, MN

Active since October 18, 2019
1411 HIGHWAY 79 E, ELBOW LAKE, MN 56531(952) 653-2565(952) 653-2540 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, Aug 19, 2024, Oct 18, 2019 (3 updates tracked since 2019).

About Lake Region Healthcare Corporation NPPES

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

LAKE REGION HEALTHCARE CORPORATION (NPI 1902449309) is a healthcare organization registered as a non-pharmacy dispensing site in Elbow Lake, Minnesota and active in the NPI registry since October 2019. The organization lists Chris Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1902449309
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameLAKE REGION HEALTHCARE CORPORATION
Location Address1411 HIGHWAY 79 EElbow Lake, MN 56531-4645
Mailing Address1411 Highway 79 EElbow Lake, MN 56531-4645 · (218) 685-7300
Phone(952) 653-2565
Fax(952) 653-2540
Organization SubpartNo
Authorized OfficialChris JohnsonCfo · (218) 736-8687
Enumeration DateOctober 18, 2019
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1902449309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1411 HIGHWAY 79 E, Elbow Lake, MN 56531
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

STEFANY NORDBY
Physician Assistant (Medical)
1411 HIGHWAY 79 E
ELBOW LAKE, MN 56531
Grant County (218) 685-7300
BRIANNA RASMUSSON PT
Physical Therapist
1411 HIGHWAY 79 E
ELBOW LAKE, MN 56531
Grant County (218) 685-7380
KAREN KAY WANDER
Physical Therapy Assistant
1411 HIGHWAY 79 E
ELBOW LAKE, MN 56531
Grant County (218) 685-7300
DANIELLE JANICE LESMEISTER CNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1411 HIGHWAY 79 E
ELBOW LAKE, MN 56531
Grant County (218) 685-7300

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 Lake Region Healthcare Corporation's NPI number?

The NPI number for Lake Region Healthcare Corporation is 1902449309. It was assigned to this organization in the NPPES registry on October 18, 2019.

Where is Lake Region Healthcare Corporation located?

Lake Region Healthcare Corporation is located at 1411 Highway 79 E, Elbow Lake, MN 56531. The listed phone number is (952) 653-2565.

What is Lake Region Healthcare Corporation's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Lake Region Healthcare Corporation accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and Baylor Scott and White Health Plan and 17 other insurers list Lake Region Healthcare Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Region Healthcare Corporation was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.