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Organization
LAKES AREA CHIROPRACTIC CLINIC LLC
Active
Organization
LAKES AREA CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIK J PETERSON D.C. (CHIROPRACTOR)
(651) 257-3900
Entity
Organization
Contact information
Practice address
12814 LAKE BLVD, LINDSTROM, MN 55045-9345
(651) 257-3900
(651) 257-3932
Mailing address
12814 LAKE BLVD, LINDSTROM, MN 55045-9345
(651) 257-3900
(651) 257-3932
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3423
MN
Other
Enumeration date
05/26/2009
Last updated
11/11/2009
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