Organization
LACEE N CARR
Active
Other names
Full Circle Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LACEE N CARR D.C. (CHIROPRACTOR)
(701) 774-5036
Entity
Organization
Contact information
Practice address
34 24TH ST W, WILLISTON, ND 58801-6271
(701) 774-5036
(701) 774-5037
Mailing address
34 24TH ST W, WILLISTON, ND 58801-6271
(701) 774-5036
(701) 774-5037
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
898
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679845960
BLUE CROSS BLUE SHIELD
ND
Enumeration date
02/01/2012
Last updated
08/12/2015
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