Organization
612 CHIROPRACTIC & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY LUMBARD DC (OWNER)
(612) 578-6001
Entity
Organization
Contact information
Practice address
750 MAIN ST, SUITE 100, MENDOTA HEIGHTS, MN 55118-3764
(612) 578-6001
Mailing address
2211 MONROE ST NE, MINNEAPOLIS, MN 55418-3635
(612) 578-6001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6232
MN
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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