Lifeline Chiropractic , P.a.

NPI #1578621710 in Woodbury, Minnesota

Provider Information

NPI Number: 1578621710
Entity Type: Organization
Organization Name: Lifeline Chiropractic , P.a.
Primary Specialty: Chiropractor
Enumeration Date: Dec 4, 2006
Last Updated: Sep 30, 2008

Practice Location

Address: 2165 WOODLANE DR
Address 2: SUITE 102
City: Woodbury
State: Minnesota
ZIP Code: 55125-2915
Phone: (651) 735-9353

Authorized Official

Name: DR. SCOTT DURICK HANSEN, D.C.
Title: PRESIDENT
Phone: (651) 735-9353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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