Individual
DR. JODIE LEA EIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
44 SAINT CROIX TRL S, SUITE 200, LAKELAND, MN 55043-8404
(651) 436-7757
Mailing address
44 SAINT CROIX TRL S, SUITE 200, LAKELAND, MN 55043-8404
(651) 436-7757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3904
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38962900
BADGERCARE/MEDICAID
WI
01
—
98D84QU
BCBS MN
MN
Enumeration date
10/12/2006
Last updated
10/18/2007
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