Individual
DR. LARRY LEE NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
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
1962
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44-48002
MEDICA PIN #
MN
01
—
4C812NO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
11/03/2006
Last updated
07/08/2007
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