Individual
DR. NICOLE KRISTIN LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
12280 NICOLLET AVE, SUITE 104, BURNSVILLE, MN 55337-1649
(952) 895-0660
(952) 895-9408
Mailing address
3440 FEDERAL DR, STE 120, EAGAN, MN 55122-3516
(612) 781-9801
(952) 895-9408
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4303
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265400800
—
MN
Enumeration date
08/30/2006
Last updated
07/13/2017
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