Organization
SPINE AND SPORTS INSITUTE, LLC
Active
Organization
SPINE AND SPORTS INSITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LEE LACHNER (OFFICE MANAGER)
(763) 315-0466
Entity
Organization
Contact information
Practice address
9325 UPLAND LN N, SUITE 230, MAPLE GROVE, MN 55369-4200
(763) 315-0466
(763) 315-0884
Mailing address
9325 UPLAND LN N, SUITE 230, MAPLE GROVE, MN 55369-4200
(763) 315-0466
(763) 315-0884
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
MN
Other
Enumeration date
12/27/2007
Last updated
04/20/2008
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