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Organization
LAKES FAMILY CHIROPRACTIC CLINIC P.A.
Active
Organization
LAKES FAMILY CHIROPRACTIC CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN RICHARD CARPENTER D.C. (CHIROPRACTOR)
(651) 784-2225
Entity
Organization
Contact information
Practice address
7771 LAKE DR, LINO LAKES, MN 55014-1100
(651) 784-2225
(651) 784-2070
Mailing address
7771 LAKE DR, LINO LAKES, MN 55014-1100
(651) 784-2225
(651) 784-2070
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
3324
MN
Other
Enumeration date
04/14/2009
Last updated
06/05/2009
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