Organization
LIVING WELL CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY C LEACH D.C. (CHIROPRACTOR)
(763) 230-7333
Entity
Organization
Contact information
Practice address
3140 HARBOR LN N, SUITE #102, PLYMOUTH, MN 55447-5126
(763) 230-7333
(763) 230-7335
Mailing address
3140 HARBOR LANE N., SUITE #102, PLYMOUTH, MN 55447-5118
(763) 230-7333
(763) 230-7335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4513
MN
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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