Healthcare Provider Details

I. General information

NPI: 1144418906
Provider Name (Legal Business Name): COUNTY OF LAMOURE OFFICE OF AUDITOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 05/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 1ST AVENUE SOUTHWEST
LAMOURE ND
58458
US

IV. Provider business mailing address

PO BOX 692 100 1 AVE SW
LAMOURE ND
58458-0692
US

V. Phone/Fax

Practice location:
  • Phone: 701-883-5356
  • Fax: 701-883-5356
Mailing address:
  • Phone: 701-883-5356
  • Fax: 701-883-5015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberE-3023
License Number StateND

VIII. Authorized Official

Name: MRS. LESILE J HANSON
Title or Position: DON
Credential:
Phone: 701-883-5356