Lighthouse Chiropractic Cllinic, Pllc
NPI #1952744831 in Grand Rapids, Minnesota
Provider Information
- NPI Number
- 1952744831
- Entity Type
- Organization
- Organization Name
- Lighthouse Chiropractic Cllinic, Pllc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Apr 10, 2013
- Last Updated
- Apr 10, 2013
Practice Location
- Address
- 2412 N.E. 27TH AVENUE
- City
- Grand Rapids
- State
- Minnesota
- ZIP Code
- 55744-5793
- Phone
- (218) 326-1104
Authorized Official
- Name
- DR. SHALYMAR C TROUMBLY, D.C.
- Title
- OWNER
- Phone
- (218) 326-1104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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