THE LAKES FAMILY CHIROPRACTIC PLLC (NPI# 1306467907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306467907 |
| Entity Type | Organization |
| Organization Name | THE LAKES FAMILY CHIROPRACTIC PLLC |
| Practice Address |
16 Minnesota Ave W Glenwood MN 56334-1551 |
| Mailing Address |
3412 17th St S Moorhead MN 56560-7039 |
| Practice Telephone | 3202267002 |
| Mailing Telephone | 3202267002 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | ADAM DANIEL LOE (OWNER/CHIROPRACTIC) |
| Authorized Official Telephone | 3202267002 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
16 MINNESOTA AVE W |
| City | GLENWOOD |
| State | MN |
| Zip Code | 56334-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306206446 | Glacial Ridge Hospital District | Optometrist | 16 West Minnesota Avenue, Suite 102, Glenwood, MN 56334 | 2016-03-02 |
| 1922320142 | Michael David Flaten | Marriage & Family Therapist | 100 17th Ave Nw, Suite #2 Lakeland Mental Health Center, Glenwood, MN 56334 | 2010-02-16 |
| 1427107721 | G E Maher Ltd | Dentist | 101 First Avenue Sw, Glenwood, MN 56334 | 2007-01-09 |
| 1740340256 | Jeremy Myrom | Dentist | 1616 N Franklin St, Glenwood, MN 56334 | 2006-12-12 |
| 1144380627 | Scott William Ringdahl | Dentist | 1616 N Franklin Str, Glenwood, MN 56334 | 2006-12-12 |
| 1487802021 | Elizabeth Ziemba Colsen | Surgery | 10 4th Ave Se, Glenwood, MN 56334 | 2008-09-08 |
| 1427210533 | David Edward Polzin | Family Medicine | 10 4th Ave Se, Glenwood, MN 56334 | 2008-06-30 |
| 1225258247 | Dental Health Services Minnewaska Pllc | Dentist | 1616 N Franklin Str, Glenwood, MN 56334 | 2007-05-01 |
| 1194968750 | Gerald Edward Maher | Dentist | 101 First Ave Sw, Glenwood, MN 56334-0174 | 2009-04-13 |
| 1548444243 | Jean Marie Mcdermott | Case Manager/Care Coordinator | 102 1st St Ne, #2, Glenwood, MN 56334-1201 | 2007-12-18 |
| Find all providers in zip 56334 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205991833 | Colleen A. Drache | Chiropractor | 701 Rt. 517, Glenwood, NJ 07418-0556 | 2006-12-26 |
| 1629139779 | Michael William Bartell | Chiropractor | 16151 State Highway 29, Suite 100, Glenwood, MN 56334-2142 | 2006-12-13 |
| 1114094182 | Randall Edward Pederson | Chiropractor | 131 Minnesota Ave E, Glenwood, MN 56334-1627 | 2006-11-28 |
| 1689749806 | Tracy A Stromgren | Chiropractor | 24 North Walnut, Glenwood, IA 51534 | 2006-11-22 |
| 1578571220 | T.k. Hutson Enterprises, LLC | Chiropractor | 400 East Broadway, Suite B, Glenwood, AR 71943 | 2006-08-04 |
| 1124065123 | Mike V Kenkel | Chiropractor | 502 Sharp St, Glenwood, IA 51534-1731 | 2006-05-31 |
| 1629068580 | Terry L Hutson | Chiropractor | 400 E Broadway, Suite B, Glenwood, AR 71943-9247 | 2005-10-24 |
| 1801018452 | Stromgren Chiropractic Pa | Chiropractor | 24 North Walnut, Glenwood, IA 51534 | 2007-05-03 |
| 1154547123 | Bartell Chiropractic Center, P.a. | Chiropractor | 16151 State Highway 29, Suite 100, Glenwood, MN 56334-2142 | 2007-04-18 |
| 1225077688 | Kenkel Family Chiropractic PC | Chiropractor | 502 Sharp St, Glenwood, IA 51534-1731 | 2006-06-04 |
| Find all providers in GLENWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.