Organization Name: | DOCKTER - LUTZ CHIROPRACTIC, LLC |
NPI Number: | 1093816258 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA L SKOTTERUD (DIRECTOR OF HUMAN RESOURCES) |
Mailing Address: | 620 Civic Heights Dr Suite 108 Circle Pines |
State: | MN US |
Postal Code: | 550144711 |
Phone Number: | 7637958300 |
Fax Number: | 7637958302 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 08/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3400 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |