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Individual

DR. LAVERN A PHELPS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
22 E CHAPMAN ST, ELY, MN 55731-1228
(218) 365-4044
(218) 365-3249
Mailing address
22 E CHAPMAN ST, ELY, MN 55731-1228
(218) 365-4044
(218) 365-3249

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
2697
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
231027
CHIROCARE
MN
01
62523PL
BCBSMN
MN
Enumeration date
01/19/2007
Last updated
07/08/2007
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