Organization
LIFECLINIC CHIROPRACTIC OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA ALIZADEH D.C. (OWNER)
(651) 690-0866
Entity
Organization
Contact information
Practice address
121 CARNEGIE ST, HENDERSON, NV 89074-7118
(952) 229-7558
Mailing address
PO BOX 549, CHANHASSEN, MN 55317-0549
(952) 229-7558
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03221
MN
Other
Enumeration date
03/08/2013
Last updated
09/30/2015
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