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Individual

DR. COLE YOUNG LUCIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1100 HWY 25 N, STE 4, BUFFALO, MN 55313
(763) 682-9779
(763) 682-1179
Mailing address
1100 HWY 25 N, STE 4, BUFFALO, MN 55313
(763) 682-9779
(763) 682-1179

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4190
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
392SOLU
BCBS
MN
Enumeration date
11/27/2006
Last updated
07/08/2007
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