# LOWELL MAGELSSEN DC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841511425
- **Authorized official:** DR. LOWELL PETER MAGELSSEN D.C. (OFFICER)
- **Authorized official phone:** (651) 482-1040

## Contact information

- **Practice address:** 1042 HIGHWAY 96 W, SHOREVIEW, MN 55126-1913
- **Practice address phone:** (651) 482-1040
- **Mailing address:** 1042 HIGHWAY 96 W, SHOREVIEW, MN 55126-1913
- **Mailing address phone:** (651) 482-1040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2067 | MN | Yes |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 06/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 546727600 | — | MN |
