Individual
LAWRENCE MORITKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1124 101ST LN NE, BLAINE, MN 55434-7602
(763) 568-4109
Mailing address
1124 101ST LN NE, BLAINE, MN 55434-7602
(763) 568-4109
(763) 780-3789
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3064
MN
Other
Enumeration date
11/13/2006
Last updated
04/07/2024
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