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Dr. Leroy Frank Otto, DC
Chiropractor in Lake City, Minnesota
NPI 1497813083

Leroy Frank Otto is a Chiropractor based in Lake City, MN. Leroy Frank Otto practices in Lake City, MN and has the professional credentials of DC. The NPI Number for Leroy Frank Otto is 1497813083 and holds a License No. 1417 (Minnesota).

The current practice location address for Leroy Frank Otto is 127 South High Street, Lake City, MN and can be reached out via phone at 651-345-3361 and via fax at 651-345-4049.

Location: 127 South High Street, Lake City, MN, 55041-1637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497813083
Provider Name
Leroy Frank Otto
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
127 South High Street, Lake City, MN, 55041-1637
Phone Number
651-345-3361
Fax Number
651-345-4049
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36065OT 01 BCBS
institution
Provider Business Practice Location Address Details
Address
127 South High Street
City
Lake City
State
Minnesota
Zip
55041-1637
Phone Number
651-345-3361
Fax Number
651-345-4049
person
Provider Business Mailing Address Details
Address
127 South High Street
City
Lake City
State
Minnesota
Zip
55041-1637
Phone Number
651-345-3361
Fax Number
651-345-4049
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1417 (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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