LAKE CITY CHIROPRACTIC LTD. NPI 1992879134

NPI Information

NPI: 1992879134
Provider Name: LAKE CITY CHIROPRACTIC, LTD.
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 24D1017461

Address:
127 S HIGH ST
LAKE CITY, MN
ZIP 55041
Phone: (651) 345-3361
Get Directions

LAKE CITY CHIROPRACTIC, LTD. is a chiropractor in Lake City, MN. The provider is 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. LAKE CITY CHIROPRACTIC, LTD. NPI is 1992879134. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

127 S HIGH ST
LAKE CITY, MN
ZIP 55041-637
Phone: (651) 345-3361
Fax: (651) 345-4049

The provider's authorized official is Leroy Frank Otto .
The authorized official title is President and has the following contact phone number (651) 345-3361.

The CLIA number assigned to this NPI record is 24D1017461 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		3W422	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	36065OT	OTHER	MINNESOTA	BCBS#LEROY F. OTTO,D.C.
2	36162OT	OTHER	MINNESOTA	BCBS#LAKE CITY CHIROPRACT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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