Lake Street Pain Relief Center, INC
NPI #1104043355 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1104043355
- Entity Type
- Organization
- Organization Name
- Lake Street Pain Relief Center, INC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Apr 19, 2007
- Last Updated
- Mar 16, 2020
Practice Location
- Address
- 515 W LAKE ST STE F
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55408-2981
- Phone
- (612) 827-7246
Authorized Official
- Name
- ARELIS GARCIA
- Title
- MEDICAL BILLING SUPERVISOR
- Phone
- (954) 990-8134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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