Individual
LAURIE ANN JOHNSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1515 W LINCOLN AVE, FERGUS FALLS, MN 56537-1065
(218) 739-3216
(218) 739-2115
Mailing address
1515 W LINCOLN AVE, FERGUS FALLS, MN 56537-1065
(218) 739-3216
(218) 739-2115
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4260
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040708001
PRIMEWEST
MN
01
—
060G1KO
BLUE CROSS BLUE SHIELD
MN
01
—
103100
HEALTHPARTNERS
MN
05
—
108004100
—
MN
Enumeration date
06/13/2006
Last updated
02/11/2025
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