Individual
LANCE WILLIAM NEUBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 W MAIN ST, WACONIA, MN 55387-1020
(952) 442-9876
Mailing address
20 W MAIN ST, WACONIA, MN 55387-1020
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6384
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6384
MINNESOTA CHIROPRACTIC LICENSE NUMBER
MN
Enumeration date
07/31/2017
Last updated
07/31/2017
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