Lions Gym INC

NPI #1720480395 in Robbinsdale, Minnesota

Provider Information

NPI Number: 1720480395
Entity Type: Organization
Organization Name: Lions Gym INC
Subpart: Yes (part of a larger organization)
Parent Organization: LIONS GYM INC
Primary Specialty: Chiropractor
Enumeration Date: Sep 25, 2014
Last Updated: Oct 24, 2014

Practice Location

Address: 4123 W BROADWAY AVE
City: Robbinsdale
State: Minnesota
ZIP Code: 55422-1808
Phone: (763) 535-0700

Authorized Official

Name: DR. STEPHEN E MENYA, DC
Title: CHIROPRACTOR
Phone: (763) 535-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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