Lake Region Bone & Joint Surgeons

Primary specialty

SpecialistTaxonomy code 174400000X

License

1290 Issued in MN

Legal business name

LAKE REGION BONE & JOINT SURGEONS

Practice address

3807 Greenleaf Ave NW
Bemidji, MN 56601-5817

Phone

(218) 751-9746

Fax

(218) 759-0620

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Rita Drews

Title

Claims MGR

Phone

(218) 751-9746

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1790781235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 GREENLEAF AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015817",
            "telephone_number": "218-751-9746",
            "fax_number": "218-759-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 GREENLEAF AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015817",
            "telephone_number": "218-751-9746",
            "fax_number": "218-759-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE REGION BONE & JOINT SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "DREWS",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CLAIMS MGR",
        "authorized_official_telephone_number": "218-751-9746",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "1290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360013100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loriah Lynn Kuemper
• Zachariah Kvidt, DPT
• Charlene G La Frenz, NP
• Anna Labitzky, PHARMD
• Burton George Lade, R.PH.
• Lakes Region Chemical Dependency LLC
• Lakeview Dental Clinic
• Lakeview Health and Wellness PLLC
• Mary H. Landes, C.R.N.A.
• Kirsten Landmark, MS

• Specialist in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.