Dillman Clinic & Lab, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DILLMAN CLINIC & LAB, INC

Doing business as

Dillman Clinic & Lab

Practice address

11175 205TH St W
Lakeville, MN 55044-9827

Phone

(952) 388-1212

NPI assigned

Mar 15, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Megan Dillman, MD

Title

Owner

Phone

(952) 388-1212

Specialties & licenses 3

Addresses

Other names 2

• Dillman Clinic & Lab Doing business as
• MD2, Inc Former legal business name

Locations

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1316695703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 205TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449827",
            "telephone_number": "952-388-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 205TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449827",
            "telephone_number": "952-388-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLMAN CLINIC & LAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2023-09-22",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "DILLMAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-388-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dillman Clinic & Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MD2, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MD2, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dentalign, PA
• Katherine Sue Deregnier, LPCC
• Hannah Deutschman, DC
• Alexis Rae Diamond
• Lilli Ann Dickenson
• Megan Dillman
• Divine Care LLC
• Grace Ann Dockendorf
• Jadyn Dodge
• Erica Marie Dolan, L.AC., M.AC.

• Internal Medicine Physician in Lakeville, MN
• Providers in Lakeville, 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 Sep 22, 2023; 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.