Organization
LAKELAND CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE CLIFFORD LOF DC (OWNER)
(218) 847-2631
Entity
Organization
Contact information
Practice address
119 GRAYSTONE PLZ, STE 110, DETROIT LAKES, MN 56501-3034
(218) 847-2631
(218) 847-0048
Mailing address
119 GRAYSTONE PLZ, STE 110, DETROIT LAKES, MN 56501-3034
(218) 847-2631
(218) 847-0048
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1603
MN
Other
Enumeration date
09/22/2005
Last updated
08/22/2020
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