| NPI | 1639710957 |
|---|---|
| Former Legal Business Name | LAKEVILLE FAMILY HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALEXA RAE VEEDER Owner 952-898-2287 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2023-11-27 |