Healthcare Provider Details

I. General information

NPI: 1467932905
Provider Name (Legal Business Name): LMN SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2018
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 LEWIS AVE S STE 101
WATERTOWN MN
55388-4501
US

IV. Provider business mailing address

204 LEWIS AVE S STE 101
WATERTOWN MN
55388-4501
US

V. Phone/Fax

Practice location:
  • Phone: 952-955-2153
  • Fax: 952-955-3067
Mailing address:
  • Phone: 952-955-2153
  • Fax: 952-955-3067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number261954
License Number StateMN

VIII. Authorized Official

Name: POUMIL PATEL
Title or Position: PRESIDENT
Credential:
Phone: 952-955-2153