Provider Demographics
NPI:1669348397
Name:LABRAATEN, ERIC DELL
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:DELL
Last Name:LABRAATEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21380 654TH AVE
Mailing Address - Street 2:
Mailing Address - City:DARWIN
Mailing Address - State:MN
Mailing Address - Zip Code:55324-6404
Mailing Address - Country:US
Mailing Address - Phone:320-583-3433
Mailing Address - Fax:
Practice Address - Street 1:6305 NAPLES BLVD # 1033
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-2071
Practice Address - Country:US
Practice Address - Phone:320-583-3433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport