Organization
HEALTHSOURCE OF LAKEVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE MARIE LAUER D.C. (DOCTOR OF CHIROPRACTIC)
(763) 772-8723
Entity
Organization
Contact information
Practice address
15024 PORTLAND AVE, BURNSVILLE, MN 55306-5085
(763) 772-8723
Mailing address
15024 PORTLAND AVE, BURNSVILLE, MN 55306-5085
(763) 772-8723
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4978
MN
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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