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Contact Information

LAKELIFE INTEGRATIVE HEALTH
5862N STATE ROAD 70
STONE LAKE, WI54876
 Phone: 715-205-5560
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LAKELIFE INTEGRATIVE HEALTH

NPI # 1548068869
LBN Legal business name LAKELIFE INTEGRATIVE HEALTH
Authorized official TANAE BERG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/04/2025
Last updated 03/04/2025 - More than a year 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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