Individual
MARK LASCOTTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4480 ERIN DR, EAGAN, MN 55122-2357
(651) 209-9906
(651) 209-9909
Mailing address
4480 ERIN DR, EAGAN, MN 55122-2357
(651) 209-9906
(651) 209-9909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6058
MN
Other
Enumeration date
03/10/2015
Last updated
11/16/2015
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