Individual
DR. LYLE CHARLES COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., DIBCN
Contact information
Practice address
207 W HOLLY ST, OWATONNA, MN 55060-3959
(507) 451-1654
(507) 451-1655
Mailing address
207 W HOLLY ST, OWATONNA, MN 55060-3959
(507) 451-1654
(507) 451-1655
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
1245
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138401300
DOL PROVIDER NUMBER
—
05
—
905225900
—
MN
Enumeration date
09/13/2006
Last updated
11/10/2015
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