| NPI | 1376064030 |
|---|---|
| Doing Business As | LAKESHORE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | TYLER JAMES OKERLUND Owner 952-442-2409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: MN 6362) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-08-08 |