| Doctor Name: | MRS. MELISSA DAWN FALCON |
| NPI Number: | 1508084740 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CLS |
| License Number: | |
| Business Practice Address: | 425 7th St Nw Cass Lake, MN - 566333360 |
| Business Phone Number: | 2183353258 |
| Business Fax Number: | |
| Mailing Address: | 799 Hidden Trail Ct Sw, BEMIDJI |
| State: | MN |
| Postal Code: | 566012556 |
| Phone Number: | 2184445383 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246QM0706X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Pathology |
| Taxonomy Specialization: | Medical Technologist |
| Taxonomy Definition: | |