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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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Shoreview
State
Minnesota
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
Shoreview
State
Minnesota
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
111N00000X
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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