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Individual

DR. GRAF LAWRENCE LESAVAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1301 MILLER TRUNK HWY, SUITE 300, DULUTH, MN 55811-5639
(218) 722-9300
(218) 722-9415
Mailing address
1301 MILLER TRUNK HWY, SUITE 300, DULUTH, MN 55811-5639
(218) 722-9300
(218) 722-9415

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1539
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52485LE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
05/23/2007
Last updated
07/08/2007
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