Provider Demographics
NPI:1972555787
Name:METROPOLITAN SLEEP DISORDERS CENTER, LLP
Entity type:Organization
Organization Name:METROPOLITAN SLEEP DISORDERS CENTER, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:LORENTZEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-224-5895
Mailing Address - Street 1:255 SMITH AVE N
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2572
Mailing Address - Country:US
Mailing Address - Phone:651-298-0350
Mailing Address - Fax:651-298-0301
Practice Address - Street 1:255 SMITH AVE N
Practice Address - Street 2:SUITE 203
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2572
Practice Address - Country:US
Practice Address - Phone:651-298-0350
Practice Address - Fax:651-298-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic