Organization
LAKE STREET PAIN RELIEF CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARELIS GARCIA (MEDICAL BILLING SUPERVISOR)
(954) 990-8134
Entity
Organization
Contact information
Practice address
515 W LAKE ST STE F, MINNEAPOLIS, MN 55408-2981
(612) 827-7246
(612) 827-8206
Mailing address
1304 E LAKE ST STE 101, MINNEAPOLIS, MN 55407-1777
(612) 827-7246
(612) 827-8206
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
03/16/2020
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