Organization
LAKE LIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETE BRETTINGEN DC (OWNER)
(612) 562-8384
Entity
Organization
Contact information
Practice address
3650 N CHESTNUT ST STE 101A, CHASKA, MN 55318-3045
(612) 562-8384
Mailing address
3650 N CHESTNUT ST STE 101A, CHASKA, MN 55318-3045
(612) 562-8384
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6402
MN
Other
Enumeration date
08/14/2017
Last updated
06/12/2025
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