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Dr. Kris Blaine Lastine, DC
Chiropractor in Marshall, Minnesota
NPI 1053403006

Kris Blaine Lastine is a Chiropractor based in Marshall, MN. Kris Blaine Lastine practices in Marshall, MN and has the professional credentials of DC. The NPI Number for Kris Blaine Lastine is 1053403006 and holds a License No. 2194 (Minnesota).

The current practice location address for Kris Blaine Lastine is 1411 E College Dr, Marshall, MN and can be reached out via phone at 507-537-1475 and via fax at 507-537-9498.

Location: 1411 E College Dr, Marshall, MN, 56258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053403006
Provider Name
Kris Blaine Lastine
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1411 E College Dr, Marshall, MN, 56258
Phone Number
507-537-1475
Fax Number
507-537-9498
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
350005213 01 MN NEW MEDICARE PROVIDER PTAN # 03/01/2013
59611LA 01 MN BCBS OF MN
891228900 05 MN
P00056482 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1411 E College Dr
City
Marshall
State
Minnesota
Zip
56258
Phone Number
507-537-1475
Fax Number
507-537-9498
person
Provider Business Mailing Address Details
Address
1411 E College Dr
City
Marshall
State
Minnesota
Zip
56258
Phone Number
507-537-1475
Fax Number
507-537-9498
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2194 (Minnesota)
Definition
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.
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