Organization
CLARITY BRAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALA LYSYK SMITH DC (PRESIDENT)
(701) 566-5306
Entity
Organization
Contact information
Practice address
3029 BRANDT DR S STE A, FARGO, ND 58104-9140
(701) 566-5306
(218) 736-4113
Mailing address
104 W LINCOLN AVE, FERGUS FALLS, MN 56537-2123
(218) 736-4113
(218) 998-4337
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
07/03/2019
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