Lakewood Health System
Organization Active NPI Non-Pharmacy Dispensing Site · Staples, MN
NPI 1053911545 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1053911545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- Legal business name
- LAKEWOOD HEALTH SYSTEM
- Practice address
- 49725 County Rd 83
Staples, MN 56479 - Phone
- (952) 653-2525
- Fax
- (952) 653-2540
- NPI assigned
- Oct 26, 2020
- Organization subpart
- No
Authorized official
- Name
- Joseph T Reycraft
- Title
- Cfo
- Phone
- (218) 894-8194
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Lakewood Clinic Staples
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Yes |
Addresses
Primary practice location
49725 County Rd 83
Staples, MN 56479
Mailing address
49725 County Rd 83
Staples, MN 56479
Phone (952) 653-2525
Other providers in Staples, MN
- Joshua John Klous
- Jacqueline Therese Kobliska
- Stephanie Jo Kray
- Ryan M Kroll
- Lakewood Health System
- Lakewood Health System
- Lakewood Health System
- Lakewood Health System
- Lakewood Health System
- Lakewood Health System
All providers in Staples, MN · Non-Pharmacy Dispensing Site in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.