person
Dr. Gerald Thomas Lalla, DC
Chiropractor in Shoreview, Minnesota
NPI 1770505745

Gerald Thomas Lalla is a Chiropractor based in Shoreview, MN. Gerald Thomas Lalla practices in Shoreview, MN and has the professional credentials of DC. The NPI Number for Gerald Thomas Lalla is 1770505745 and holds a License No. 1142 (Minnesota).

The current practice location address for Gerald Thomas Lalla is 520 Highway 96 W, Shoreview, MN and can be reached out via phone at 651-484-8521 and via fax at 651-484-7374.

Location: 520 Highway 96 W, Shoreview, MN, 55126-3202
person
Provider Profile Details
NPI Number
1770505745
Provider Name
Gerald Thomas Lalla
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
520 Highway 96 W, Shoreview, MN, 55126-3202
Phone Number
651-484-8521
Fax Number
651-484-7374
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
24793LA 01 MN BLUECROSS/BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
520 Highway 96 W
City
State
Zip
55126-3202
Phone Number
651-484-8521
Fax Number
651-484-7374
person
Provider Business Mailing Address Details
Address
520 Highway 96 W
City
State
Zip
55126-3202
Phone Number
651-484-8521
Fax Number
651-484-7374
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
1142 (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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