Organization
SMITH FAMILY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALA LORA LYSYK SMITH D.C. (OWNER)
(218) 736-4113
Entity
Organization
Contact information
Practice address
104 W LINCOLN AVE, FERGUS FALLS, MN 56537-2123
(218) 736-4113
(218) 998-4337
Mailing address
104 W LINCOLN AVE, FERGUS FALLS, MN 56537-2123
(218) 736-4113
(218) 998-4337
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3238
MN
111N00000X
Chiropractor
Primary
3250
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C541SM
BLUE CROSS/BLUE SHIELD
MN
01
—
CJ9932
RAILROAD MEDICARE
MN
Enumeration date
09/30/2005
Last updated
02/27/2008
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