Dockter - Lutz Chiropractic, Llc

NPI 1093816258 - Chiropractor - 111N00000X

NPI Details
NPI 1093816258
Enumeration Date 09/26/2006
Last Updated 08/07/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARIA L MARIA
Position DIRECTOR OF HUMAN RESOURCES
Phone (763) 795-8300
Fax (763) 795-8302
Practice Location
620 CIVIC HEIGHTS DR
SUITE 108
CIRCLE PINES MN, 55014-4711, US
Phone (763) 795-8300
Fax (763) 795-8302
Business Location
620 CIVIC HEIGHTS DR
SUITE 108
CIRCLE PINES MN, 55014-4711, US
Phone (763) 795-8300
Fax (763) 795-8302
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 3400
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According to our database, Dockter - Lutz Chiropractic, Llc NPI is 1093816258, taxonomy code is 111N00000X and license number is 3400, license state is located at Minnesota. Dockter - Lutz Chiropractic, Llc physically located at 620 Civic Heights Dr, Circle Pines MN, 55014-4711. NPI Number 1033115704 has the healthcare provider type.

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1093816258 NPI number is provided on an as is basis without warranty of any kind. 1093816258 is maintained by the National Plan & Provider Enumeration System. The contents of Dockter - Lutz Chiropractic, Llc are for informational purposes only.