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Individual

DR. ELIZABETH KAY LAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
665 HIGHWAY 212 W, GRANITE FALLS, MN 56241-1371
(320) 564-1870
Mailing address
1411 550TH ST, WOOD LAKE, MN 56297-1419

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3107
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
638828100
MN
Enumeration date
08/22/2005
Last updated
07/31/2012
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