Organization
LIGHTHOUSE CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DALE BOYD DC (PRESIDENT)
(763) 543-9080
Entity
Organization
Contact information
Practice address
10700 HIGHWAY 55, SUITE 100, PLYMOUTH, MN 55441-6100
(763) 543-9080
(763) 543-9082
Mailing address
10700 HIGHWAY 55, SUITE 100, PLYMOUTH, MN 55441-6100
(763) 543-9080
(763) 543-9082
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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