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Chiropractic Providers Chiropractor

Provider NPI: 1023164035

Organization Information:
Organization is not Subpart
Authorized Official:  PATRICIA  LAWLER  PRESIDENT  651-645-6951

Practice Location:
Tel: 651-645-6951  Fax: 651-645-6961

Business Mailing Address:
Tel: 651-645-6951  Fax: 651-645-6961

NPI Information:
NPI: 1023164035
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N111N00000XChiropractic Providers
N111NI0900XChiropractic Providers
N111NN0400XChiropractic Providers
Y111NN1001XChiropractic Providers
N111NS0005XChiropractic Providers
N111NX0100XChiropractic Providers
N111NX0800XChiropractic Providers
N132700000XDietary & Nutritional Service Providers
Dietary Manager
N133N00000XDietary & Nutritional Service Providers
N133NN1002XDietary & Nutritional Service Providers
N171100000XOther Service Providers
N175F00000XOther Service Providers
N175L00000XOther Service Providers
N111NR0400XChiropractic Providers
N171M00000XOther Service Providers
Case Manager/Care Coordinator

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 111NN1001X





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