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Organization

LONSDALE CHIROPRACTIC

Active
Other names
LIESKE BRUCE H AND DENISE K
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE H LIESKE DC (CHIROPRACTOR)
(507) 744-5514
Entity
Organization

Contact information

Practice address
100 MAIN ST SO, LONSDALE, MN 55046-0162
(507) 744-5514
(507) 744-5513
Mailing address
PO BOX 162, LONSDALE, MN 55046-0162
(507) 744-5514
(507) 744-5513

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5C797LO
BC/BS
MN
Enumeration date
07/23/2008
Last updated
07/24/2008
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