Healthcare Provider Details

I. General information

NPI: 1326125543
Provider Name (Legal Business Name): LOIS A BORNER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date: 06/15/2016
Reactivation Date: 05/19/2026

III. Provider practice location address

605 WILLERS CT
LAKE CITY MN
55041-1249
US

IV. Provider business mailing address

605 WILLERS CT
LAKE CITY MN
55041-1249
US

V. Phone/Fax

Practice location:
  • Phone: 651-345-2460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2696
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: