Organization
LEWIS CHIROPRACTIC HEALTH CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY T LEWIS DC (OWNER)
(651) 488-1332
Entity
Organization
Contact information
Practice address
982 DALE ST N, SAINT PAUL, MN 55117-5602
(651) 488-1332
(651) 488-1889
Mailing address
982 DALE ST N, SAINT PAUL, MN 55117-5602
(651) 488-1332
(651) 488-1889
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
3053
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3C066LE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
03/26/2007
Last updated
02/14/2008
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