Individual
TYLER LURSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3240 15TH ST S STE C, FARGO, ND 58104-6188
(701) 451-9070
Mailing address
3240 15TH ST S STE C, FARGO, ND 58104-6188
(701) 451-9070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1129
ND
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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