Organization
LANTZ CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE KRISTIN LANTZ DC (OWNER)
(612) 584-0220
Entity
Organization
Contact information
Practice address
3440 FEDERAL DR, SUITE 120, EAGAN, MN 55122-3501
(612) 584-0220
(651) 403-5643
Mailing address
3440 FEDERAL DR, SUITE 120, EAGAN, MN 55122-3501
(612) 584-0220
(651) 403-5643
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4303
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265400800
—
MN
Enumeration date
05/09/2012
Last updated
05/09/2012
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