Enlighten Chiropractic Pc | |
20772 Holyoke Ave, Lakeville, MN 55044-9824 | |
(952) 232-1935 | |
Not Available |
Full Name | Enlighten Chiropractic Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 20772 Holyoke Ave, Lakeville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1659937076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Nicholas Lee |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1821654245 PECOS PAC ID: 0648513382 Enrollment ID: I20190520002502 |
Provider Name | Brielle Egilson Lee |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1740823244 PECOS PAC ID: 9133451537 Enrollment ID: I20191105001369 |
Mailing Address | Practice Location Address |
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Enlighten Chiropractic Pc 20772 Holyoke Ave, Lakeville, MN 55044-9824 Ph: (952) 232-1935 | Enlighten Chiropractic Pc 20772 Holyoke Ave, Lakeville, MN 55044-9824 Ph: (952) 232-1935 |
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