| Lakeshore Chiropractic | |
|
1750 Tower Blvd Ste 203 Victoria MN 55386-4566 | |
| (952) 442-2409 | |
| Not Available |
| Full Name | Lakeshore Chiropractic |
|---|---|
| Speciality | Clinic/center |
| Location | 1750 Tower Blvd Ste 203, Victoria, Minnesota |
| Authorized Official Name and Position | Tyler James Okerlund (OWNER) |
| Authorized Official Contact | 9524422409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Chiropractic Po Box 42 Victoria MN 55386-0042 Ph: (952) 442-2409 | Lakeshore Chiropractic 1750 Tower Blvd Ste 203 Victoria MN 55386-4566 Ph: (952) 442-2409 |
| NPI Number | 1376064030 |
|---|---|
| Provider Enumeration Date | 07/03/2017 |
| Last Update Date | 08/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376064030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6362 (Minnesota) | Primary |
Active Living Chiropractic P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 Arboretum Blvd, Victoria, MN 55386 Phone: 952-240-3564 |