Organization
LIFECLINIC PA
Active
Organization
LIFECLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA ALIZADEH DC (CEO)
(612) 868-6894
Entity
Organization
Contact information
Practice address
5525 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-1420
(952) 229-7901
Mailing address
33 HAMLINE AVE S, SAINT PAUL, MN 55105-2231
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
3112
MN
225100000X
Physical Therapist
8737
MN
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up