| NPI | 1316934870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALA LORA LYSYK SMITH Owner 218-736-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3250) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 3238) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2008-02-27 |