| NPI | 1043873821 |
|---|---|
| Doing Business As | LAKEVILLE SPINE & HEALTH |
| Entity Type | Organization |
| Authorized Contact | KENT E CARDER Owner/Doctor 952-985-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2022-06-07 |