Organization
LAKEWOODS CHIROPRACTIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON PAUL GERARD D.C. (OWNER)
(651) 464-0800
Entity
Organization
Contact information
Practice address
255 HIGHWAY 97 UNIT 2A, FOREST LAKE, MN 55025-2687
(651) 464-0800
Mailing address
255 HIGHWAY 97 UNIT 2A, FOREST LAKE, MN 55025-2687
(651) 464-0800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MN03725
MN
Other
Enumeration date
04/04/2007
Last updated
03/04/2019
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