Lakeville Community Chiropractic

NPI #1912156795 in Lakeville, Minnesota

Provider Information

NPI Number: 1912156795
Entity Type: Organization
Organization Name: Lakeville Community Chiropractic
Subpart: Yes (part of a larger organization)
Parent Organization: LAKEVILLE COMMUNITY CHIROPRACTIC
Primary Specialty: Chiropractor
Enumeration Date: Sep 16, 2008
Last Updated: Sep 16, 2008

Practice Location

Address: 17305 CEDAR AVE S
Address 2: SUITE 250
City: Lakeville
State: Minnesota
ZIP Code: 55044-3901
Phone: (612) 360-3483

Authorized Official

Name: DR. WILLIAM DANIEL GRIMES, D.C.
Title: OWNER
Phone: (612) 360-3483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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