| NPI | 1932341070 |
|---|---|
| Doing Business As | LIFESTYLE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JOEL THOMAS FUGLEBERG Owner/Dr 651-406-4454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4878) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |