Organization
LAKES COUNTRY CHIROPRACTIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA LYNN TATRO DC (PRESIDENT)
(414) 412-6322
Entity
Organization
Contact information
Practice address
157 1ST AVE S, PERHAM, MN 56573-1701
(218) 346-3560
Mailing address
10213 SHERBROOKE BEACH LN, PELICAN RAPIDS, MN 56572-9332
(414) 412-6322
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5473
MN
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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