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Contact Information

LAKE AND LEAF CHIROPRACTIC PLLC
12818 LAKE BLVD
LINDSTROM, MN55045
 Phone: 651-257-2300
 Fax: 651-257-2333
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for LAKE AND LEAF CHIROPRACTIC PLLC

NPI Number 1669193793
LBN Legal business name LAKE AND LEAF CHIROPRACTIC PLLC
Authorized official ERIC GORMANSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2022
Last updated 12/13/2022 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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