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Lighthouse Chiropractic Cllinic, Pllc
Chiropractor in Grand Rapids, Minnesota
NPI 1952744831

Lighthouse Chiropractic Cllinic, Pllc is a Chiropractor based in Grand Rapids, MN. Lighthouse Chiropractic Cllinic, Pllc practices in Grand Rapids, MN. The NPI Number for Lighthouse Chiropractic Cllinic, Pllc is 1952744831 and holds a License No. 3659 (Minnesota).

The current practice location address for Lighthouse Chiropractic Cllinic, Pllc is 2412 N.e. 27Th Avenue, Grand Rapids, MN and can be reached out via phone at 218-326-1104.

Location: 2412 N.e. 27Th Avenue, Grand Rapids, MN, 55744-5793
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952744831
Provider Name
Lighthouse Chiropractic Cllinic, Pllc
Credential
Provider Entity Type
Organization
Address
2412 N.e. 27Th Avenue, Grand Rapids, MN, 55744-5793
Phone Number
218-326-1104
Fax Number
Provider Enumeration Date
04/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
281M0LI 01 MN BCBSM CONTRACTING PROVIDER
456719600 01 MN MDHS
CC10368 01 MN CHIROPRACTIC CARE OF MN
291M7NE 01 MN BCBSM INDIVIDUAL PROVIDER
350003063 01 MN MEDICARE
institution
Provider Business Practice Location Address Details
Address
2412 N.e. 27Th Avenue
City
Grand Rapids
State
Minnesota
Zip
55744-5793
Phone Number
218-326-1104
Fax Number
person
Provider Business Mailing Address Details
Address
2412 N.e. 27Th Avenue
City
Grand Rapids
State
Minnesota
Zip
55744-5793
Phone Number
218-326-1104
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3659 (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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