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Individual

DR. KAITLIN LYSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC, IBCLC

Contact information

Practice address
201 D EAST AVE., RED WING, MN 55066
(651) 448-1481
Mailing address
201 D EAST AVE., RED WING, MN 55066
(651) 448-1481

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5976
MN
174N00000X
Lactation Consultant (Non-RN)
Primary
L-319199
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5976
CHIROPRACTIC
MN
01
L319199
LACTATIONCONSULTANTNONRN
MN
Enumeration date
11/25/2014
Last updated
01/28/2026
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