Organization
MORITKO CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE EDWARD MORITKO D.C. (OWNER)
(763) 588-7000
Entity
Organization
Contact information
Practice address
810 LILAC DR N, #120, GOLDEN VALLEY, MN 55422-4656
(763) 588-5000
Mailing address
810 LILAC DR N, #210, GOLDEN VALLEY, MN 55422-4656
(763) 205-5519
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3064
MN
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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