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Lake Shore Treatement Center LLC

Substance Abuse Rehabilitation Facility in Mahtomedi, MN · enumerated 2014 · authorized official Lewis Zeidner, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023430519

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Shore Treatement Center LLC
Other name <Unavail>
Practice address 140 Quail St, Mahtomedi, MN, 55115
Phone (612) 326-7600
Enumeration date Jan 17, 2014
Last updated in NPPES Feb 20, 2025

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License 1067244 (MN) Primary

Authorized official

Name Lewis Zeidner
Title Ceo
Phone (763) 245-8278

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Lake Shore Treatement Center LLC?
NPPES lists Lewis Zeidner (Ceo) as the authorized official for this organization.
What is the NPI number for Lake Shore Treatement Center LLC?
The NPI for Lake Shore Treatement Center LLC is 1023430519, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-20.