Lake Superior Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

31798 Issued in MN

Legal business name

LAKE SUPERIOR INTERNAL MEDICINE

Practice address

324 W Superior St
Suite 625
Duluth, MN 55802-1701

Phone

(218) 727-0080

Fax

(218) 727-2322

NPI assigned

Nov 30, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Susanne Pearce, M.D.

Title

Physician

Phone

(218) 727-0080

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295719714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST",
            "address_2": "SUITE 625",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021701",
            "telephone_number": "218-727-0080",
            "fax_number": "218-727-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST",
            "address_2": "SUITE 625",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021701",
            "telephone_number": "218-727-0080",
            "fax_number": "218-727-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SUPERIOR INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "218-727-0080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "31798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Superior Community Health Center
• Lake Superior Community Health Center
• Lake Superior Concierge, Inc.
• Lake Superior Counseling Center
• Lake Superior Dental Associates
• Lake Superior Medical Equipment Inc
• Lake Superior Physical Therapy Inc
• Lake Vision PLLC
• Ronald Lake, MSW LICSW
• Lakeside Dental Associates, PA

• Internal Medicine Physician in Duluth, MN
• Providers in Duluth, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.