LYN MARIE PALACHECK (NPI# 1326234469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326234469 |
| Entity Type | Individual |
| Full Name | LYN MARIE PALACHECK |
| Credential | CNS |
| Practice Address |
24750 Field Ave Forest Lake MN 55025-7214 |
| Practice Telephone | 6512615360 |
| Practice Fax Number | 6514644845 |
| Mailing Telephone | 6512615360 |
| Mailing Fax Number | 6514644845 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
R082801-7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24750 FIELD AVE |
| City | FOREST LAKE |
| State | MN |
| Zip Code | 55025-7214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846173 | Persistence Physical Therapy LLC | Clinic/Center | 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 | 2020-03-20 |
| 1255973319 | Connie Rettig | Technician | 908 North Shore Drive, Forest Lake, MN 55025 | 2019-10-10 |
| 1003394479 | Malissa Ann Costanzo | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 844 8th Ave Se, Forest Lake, MN 55025 | 2018-07-30 |
| 1669754735 | Brent Alan Millard | Pharmacist | 1207 West Broadway Ave, Forest Lake, MN 55025 | 2011-09-15 |
| 1982842167 | Lakes Center for Youth and Families | Community/Behavioral Health | 20 N Lake Street, Suite 103, Forest Lake, MN 55025 | 2009-01-27 |
| 1487843355 | Paul Luke Mladnick | Marriage & Family Therapist | 1068 So Lake St, #109, Forest Lake, MN 55025 | 2007-10-17 |
| 1740477678 | Rita Lynn Scanlan | Occupational Therapist | 604 Ne 1st St, Birchwood Health Care Center, Forest Lake, MN 55025 | 2007-09-25 |
| 1114053113 | Senior Care Forest Lake, LLC | Skilled Nursing Facility | 604 N.e. First Street, Forest Lake, MN 55025 | 2007-02-26 |
| 1073672101 | Catharine B Ruther | Dentist | 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 | 2006-12-06 |
| 1407914849 | Ervin George Savord | Dentist | 255 Highway 97, Suite 1b, Forest Lake, MN 55025 | 2006-12-05 |
| Find all providers in zip 55025 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069318 | Ann Ruth Loth | Clinical Nurse Specialist | 3826 Halling Pl Sw, Rochester, MN 55902-1667 | 2020-10-05 |
| 1053861146 | Deborah Mangan-danckwart | Clinical Nurse Specialist | 67726 207th Ave, Wabasha, MN 55981-2196 | 2016-10-12 |
| 1215333471 | Jodi Hartwig | Clinical Nurse Specialist | 528 Ashland Ave Apt 3, Saint Paul, MN 55102-2059 | 2014-11-14 |
| 1972860526 | Lifetree Clinic | Clinical Nurse Specialist | 14585 Grand Ave, Suite 206, Burnsville, MN 55306-5719 | 2012-04-20 |
| 1104066695 | Lorene K Brown | Clinical Nurse Specialist | 120 Choctaw Cir, Chanhassen, MN 55317-9505 | 2009-02-24 |
| 1912143751 | Kimberly Kay Ness | Clinical Nurse Specialist | 6545 France Ave S # 210, Edina, MN 55435-2131 | 2008-12-29 |
| 1801072020 | Lisa Lavonn Long | Clinical Nurse Specialist | 2800 Campus Dr, Suite 30, Plymouth, MN 55441-2645 | 2008-01-17 |
| 1336186048 | Kelli J Simmons | Clinical Nurse Specialist | 420 Delaware Street Southeast, Mayo Mail Code 450, Minneapolis, MN 55455 | 2006-06-01 |
| 1053393967 | Christine M Day | Clinical Nurse Specialist | 1502 London Rd, Suite 102, Duluth, MN 55812-1788 | 2005-11-16 |
| 1386287910 | Sara Beth Roslansky | Clinical Nurse Specialist | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2019-10-27 |
| Find all providers with the same taxonomy | ||||
| City | FOREST LAKE |
| Zip Code | 55025 |
Please comment or provide details below to improve the information on LYN MARIE PALACHECK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.