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Individual

DR. MICHELLE RAE LELWICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
31108 GOVERNMENT DR, PEQUOT LAKES, MN 56472-1001
(218) 568-5648
(218) 568-5698
Mailing address
31108 GOVERNMENT DR, PEQUOT LAKES, MN 56472-1001
(218) 568-5648
(218) 568-5698

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003003
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137828700
MN
Enumeration date
08/02/2006
Last updated
11/04/2011
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