Individual
KYLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
591 N SHORE DR, FOREST LAKE, MN 55025-1217
(651) 464-2133
(651) 982-6903
Mailing address
591 N SHORE DR, FOREST LAKE, MN 55025-1217
(651) 464-2133
(651) 982-6903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6049
MN
Other
Enumeration date
02/01/2015
Last updated
02/01/2015
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