Provider Demographics
NPI:1871089284
Name:LAKELAND STAFFING SOLUTIONS, LLC
Entity type:Organization
Organization Name:LAKELAND STAFFING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SYLTIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-828-3869
Mailing Address - Street 1:PO BOX 21884
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-0884
Mailing Address - Country:US
Mailing Address - Phone:507-828-3869
Mailing Address - Fax:
Practice Address - Street 1:3306 ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-2345
Practice Address - Country:US
Practice Address - Phone:507-828-3869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty