Dr Eric Jon Gormanson, DC | |
12818 Lake Blvd, Lindstrom, MN 55045 | |
(651) 257-2300 | |
(651) 257-2333 |
Full Name | Dr Eric Jon Gormanson |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 12818 Lake Blvd, Lindstrom, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023157831 | NPI | - | NPPES |
261583971 | Other | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 7016 (Minnesota) | Primary |
Provider Name | Lake And Leaf Chiropractic, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669193793 PECOS PAC ID: 5496125973 Enrollment ID: O20221227000988 |
Mailing Address | Practice Location Address |
---|---|
Dr Eric Jon Gormanson, DC 12818 Lake Blvd, Lindstrom, MN 55045 Ph: (651) 257-2300 | Dr Eric Jon Gormanson, DC 12818 Lake Blvd, Lindstrom, MN 55045 Ph: (651) 257-2300 |
Dr. Robert Donald Waddell Iii, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 12099 Lake Blvd, Lindstrom, MN 55045 Phone: 651-257-1103 Fax: 651-257-1552 | |
Lindstrom Chiropractic Center, P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 12099 Lake Blvd, Lindstrom, MN 55045 Phone: 651-257-1103 | |
Lakes Area Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12814 Lake Blvd, Lindstrom, MN 55045 Phone: 651-233-0594 | |
Lakes Area Chiropractic Clinic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12814 Lake Blvd, Lindstrom, MN 55045 Phone: 651-257-3900 Fax: 651-257-3932 | |
Kimberley M Johnson Dc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12814 Lake Boulevard, Lindstrom, MN 55045 Phone: 651-257-3900 Fax: 651-257-3932 | |
Dr. Joseph Virga, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 12670 Lake Blvd, Lindstrom, MN 55045 Phone: 651-257-1000 Fax: 651-257-1020 |