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Organization

LAKELIFE INTEGRATIVE HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TANAE BERG DC (OWNER)
(715) 205-5560
Entity
Organization

Contact information

Practice address
5862N STATE ROAD 70, STONE LAKE, WI 54876
(715) 205-5560
Mailing address
16206 W STATE ROAD 70, STONE LAKE, WI 54876-1101
(715) 205-5560

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
03/04/2025
Last updated
03/04/2025
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