LAKE AND LEAF CHIROPRACTIC PLLC – NPI #1669193793
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

LAKE AND LEAF CHIROPRACTIC PLLC is an AHC clinic located in LINDSTROM, MN. NPPES has assigned the NPI number 1669193793 to LAKE AND LEAF CHIROPRACTIC PLLC on September 07, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 3 years ago on Dec 13, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKE AND LEAF CHIROPRACTIC PLLC below.

NPI Profile for
LAKE AND LEAF CHIROPRACTIC PLLC

NPI Number
1669193793
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKE AND LEAF CHIROPRACTIC PLLC
Primary location
12818 LAKE BLVD
LINDSTROM, MN 55045
Phone: (651) 257-2300 Fax: (651) 257-2333
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERIC GORMANSON
OWNER
Phone: (651) 257-2300
Updated
Certification Date
Dec 12, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.