Organization
LAKE MARION CHIROPRACTIC CENTER PA
Active
Organization
LAKE MARION CHIROPRACTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG ALAN COUILLARD DC (PRESIDENT)
(952) 469-8385
Entity
Organization
Contact information
Practice address
20176 HERITAGE DR, LAKEVILLE, MN 55044-6855
(952) 469-8385
(952) 469-1713
Mailing address
20176 HERITAGE DR, LAKEVILLE, MN 55044-6855
(952) 469-8385
(952) 469-1713
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
3955
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497741185
NPI # INDIVIDUAL
MN
Enumeration date
11/01/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up