Organization
PINE RIDGE CHIROPRACTIC
Active
Organization
PINE RIDGE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN R LUGINBILL D.C. (CHIROPRACTOR/OWNER)
(763) 856-9588
Entity
Organization
Contact information
Practice address
26273 2ND ST E, ZIMMERMAN, MN 55398-4672
(763) 856-9588
Mailing address
26273 2ND ST E, ZIMMERMAN, MN 55398-4672
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1925
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204827200
—
MN
Enumeration date
03/24/2009
Last updated
03/24/2009
Update your record
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