Individual
BREANNA RAE LAMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3140 HARBOR LN N STE 102, PLYMOUTH, MN 55447-5118
(763) 230-7333
Mailing address
3140 HARBOR LN N STE 102, PLYMOUTH, MN 55447-5118
(763) 230-7333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6561
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6561
CHIROPRACTIC BOARD
MN
Enumeration date
12/28/2018
Last updated
12/28/2018
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