Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allina Health System

Organization Family Medicine Physician · NPI 1407546872

Allina Health System provides Family Medicine Physician services in Lakeville, Minnesota. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

17489 Dodd Blvd
Lakeville, MN 55044-4409
Phone: (952) 428-1020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1407546872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominica Tallarico — Coo · (612) 222-2222
Other names Allina Health Lakeville North Clinic; Allina Health Lakeville North Clinic
NPI enumeratedMay 10, 2023
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing addressPo Box 43, Mail Route 10585, Minneapolis, MN 55440-0043

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