Organization
ESSENTIALS OF LIFE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY LAWTHER D.C. (OWNER)
(763) 413-6934
Entity
Organization
Contact information
Practice address
15190 BLUEBIRD ST NW, SUITE 104, ANDOVER, MN 55304-4869
(763) 413-6934
Mailing address
15190 BLUEBIRD ST NW, SUITE 104, ANDOVER, MN 55304-4869
(763) 413-6934
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6042
MN
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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