Organization
JACKSON CHIROPRACTIC OF LAKE CRYSTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE MARIE FRICK (OFFICE MANAGER)
(507) 847-3285
Entity
Organization
Contact information
Practice address
242 HIWAY 60, UNIT 4, LAKE CRYSTAL, MN 56055
(507) 726-2530
(507) 726-6482
Mailing address
PO BOX 68, LAKE CRYSTAL, MN 56055-0068
(507) 726-2716
(507) 726-6482
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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