| NPI | 1417153925 |
|---|---|
| Doing Business As | ACTIVE LIFE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAYMOND LAMPPA Owner 952-888-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 1658) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2014-03-28 |