Sportworks Active Chiropractic, LLC
NPI #1114331667 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1114331667
- Entity Type
- Organization
- Organization Name
- Sportworks Active Chiropractic, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jun 12, 2014
- Last Updated
- Oct 19, 2015
Practice Location
- Address
- 1629 HENNEPIN AVE
- Address 2
- SUITE 250
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55403-1742
- Phone
- (612) 486-5554
Authorized Official
- Name
- DR. SAM LEZON, D.C.
- Title
- OWNER
- Phone
- (612) 486-5554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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