# LAKES COUNTRY CHIROPRACTIC P.A.

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

## Provider details

- **NPI number:** 1952683708
- **Authorized official:** VICTORIA LYNN TATRO DC (PRESIDENT)
- **Authorized official phone:** (414) 412-6322

## Contact information

- **Practice address:** 157 1ST AVE S, PERHAM, MN 56573-1701
- **Practice address phone:** (218) 346-3560
- **Mailing address:** 10213 SHERBROOKE BEACH LN, PELICAN RAPIDS, MN 56572-9332
- **Mailing address phone:** (414) 412-6322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 5473 | MN | Yes |

## Other

- **Enumeration date:** 09/16/2011
- **Last updated:** 09/16/2011