Organization · Type 2 NPI

Lake Street Pain Relief Center, Inc

Chiropractor · Minneapolis, MN

NPI number 1104043355 Active

Practice location

515 W Lake St Ste F
Minneapolis, MN 55408-2981

Call (612) 827-7246 Map

Fax (612) 827-8206

Mailing address

1304 E Lake St Ste 101
Minneapolis, MN 55407-1777

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

3 other providers at this address

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About NPI 1104043355

Lake Street Pain Relief Center, Inc's National Provider Identifier is 1104043355, issued on Apr 19, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 16, 2020.