Organization
LAKES FAMILY CHIROPRACTIC CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN RICHARD CARPENTER D.C. (CHIROPRACTOR)
(651) 784-2225
Entity
Organization
Contact information
Practice address
7771 LAKE DR, LINO LAKES, MN 55014-1100
(651) 784-2225
(651) 784-2070
Mailing address
7771 LAKE DR, LINO LAKES, MN 55014-1100
(651) 784-2225
(651) 784-2070
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
3324
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326169772
INDIVIDUAL NPI #
MN
Enumeration date
04/14/2009
Last updated
06/05/2009
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