Individual
DR. LAURIE J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC DABCO
Contact information
Practice address
16230 ABERDEEN ST NE, HAM LAKE, MN 55304-5420
(763) 208-5382
Mailing address
2415 149TH AVE NE, HAM LAKE, MN 55304-6323
(763) 208-5382
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2125
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077727700
—
MN
Enumeration date
10/24/2006
Last updated
11/01/2023
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