Individual
DR. PETER LEE LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1089 ROBERT ST S, WEST SAINT PAUL, MN 55118-1456
(651) 457-5435
(651) 457-8091
Mailing address
1089 ROBERT ST S, WEST SAINT PAUL, MN 55118-1456
(651) 457-5435
(651) 457-8091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003388
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003388
CHIROPRACTIC LICENSCE
MN
05
—
138024900
—
MN
Enumeration date
03/12/2007
Last updated
11/08/2012
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