Organization
LIEFFRING CHIROPRACTIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JOSEPH LIEFFRING D.C. (PRESIDENT)
(218) 485-8688
Entity
Organization
Contact information
Practice address
1219 14TH ST STE C, CLOQUET, MN 55720-3703
(218) 878-0895
(218) 485-8941
Mailing address
1219 14TH ST STE C, CLOQUET, MN 55720-3703
(218) 878-0895
(218) 485-8941
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1532
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1C026LI
BLUE CROSS MN
MN
Enumeration date
11/09/2006
Last updated
07/20/2018
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