Legacy Staffing Agency LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LEGACY STAFFING AGENCY LLC

Practice address

2205 Meadow Oak Ave Apt 358
Monticello, MN 55362-2619

Phone

(612) 709-5006

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

Erica Solomon

Title

Owner

Phone

(612) 709-5006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1588315899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 MEADOW OAK AVE APT 358",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553622619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 MEADOW OAK AVE APT 358",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553622619",
            "telephone_number": "612-709-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY STAFFING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-709-5006"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby R Labounty, M.D.
• Danielle Ladwig
• Lakeland Family Dental
• Lynn Lampi, FNP
• Diane B Larson, CNM
• Miranda Lepinski-Peterson, O.D.
• William John Lepkowski, PHD
• Mari Liestman
• Lifespan Mental Health, PLLC
• Kelly Cameron Lindberg, LADC

• Clinic/Center in Monticello, MN
• Providers in Monticello, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.