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Organization
DOCKTER - LUTZ CHIROPRACTIC, LLC
Active
Organization
DOCKTER - LUTZ CHIROPRACTIC, LLC
Active
Other names
Pine City Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA L SKOTTERUD (DIRECTOR OF HUMAN RESOURCES)
(763) 795-8300
Entity
Organization
Contact information
Practice address
620 CIVIC HEIGHTS DR, SUITE 108, CIRCLE PINES, MN 55014-4711
(763) 795-8300
(763) 795-8302
Mailing address
620 CIVIC HEIGHTS DR, SUITE 108, CIRCLE PINES, MN 55014-4711
(763) 795-8300
(763) 795-8302
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3400
MN
111N00000X
Chiropractor
3433
MN
111N00000X
Chiropractor
Primary
3573
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205838869
CHRISTOPHER A DOCKTER NPI
MN
01
—
1255333845
DANIEL S LUTZ NPI
MN
01
—
1932216249
VAUGHN N REENTS NPI
MN
Enumeration date
09/26/2006
Last updated
08/07/2007
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