NPI | 1972723633 |
---|---|
Doing Business As | LAKE ELMO CHIROPRACTIC CLINIC |
Entity Type | Organization |
Authorized Contact | TAMI RAE ANDREWS Owner 651-779-7858 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3095) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-08-22 |