Organization
LAKE REGION FAMILY CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BJORN HURLEN D.C. (CHIROPRACTOR)
(320) 762-2309
Entity
Organization
Contact information
Practice address
614 HAWTHORNE ST, ALEXANDRIA, MN 56308-1661
(320) 762-2309
(320) 762-2300
Mailing address
614 HAWTHORNE ST, ALEXANDRIA, MN 56308-1661
(320) 762-2309
(320) 762-2300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030701119
PRIMEWEST
MN
05
—
0683884-00
—
MN
01
—
4C809LA
BCBS CLINIC ID
MN
Enumeration date
11/03/2006
Last updated
01/28/2008
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