Organization
LUNDELL CHIROPRACTIC HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATY LYNN LUNDELL DC (OWNER)
(320) 564-1209
Entity
Organization
Contact information
Practice address
1222 GRANITE ST, GRANITE FALLS, MN 56241-1359
(320) 564-1209
(320) 564-1210
Mailing address
1222 GRANITE ST, GRANITE FALLS, MN 56241-1359
(320) 564-1209
(320) 564-1210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5371
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073831475
—
MN
05
—
1487972758
—
MN
01
—
3CR14LU
BLUE CROSS BLUE SHIELD
MN
01
—
4405368
MEDICA
MN
Enumeration date
05/12/2010
Last updated
07/29/2010
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