Organization
ADVANCED CHIROPRACTIC & WELLNESS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BRIAN LUND D.C. (OWNER DOCTOR OF CHIROPRACTIC)
(651) 779-5998
Entity
Organization
Contact information
Practice address
1752 LEXINGTON AVE N, ROSEVILLE, MN 55113-6516
(651) 779-5998
(651) 779-7165
Mailing address
1752 LEXINGTON AVE N, ROSEVILLE, MN 55113-6516
(651) 779-5998
(651) 779-7165
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4749
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
594K7AD
BLUECROSS BLUESHIELD
MN
Enumeration date
12/27/2006
Last updated
08/22/2020
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