Healthcare Provider Details

I. General information

NPI: 1437101425
Provider Name (Legal Business Name): LEWIS M HOLM DC LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14525 HIGHWAY 7 STE 375
MINNETONKA MN
55345-3741
US

IV. Provider business mailing address

14525 HIGHWAY 7 STE 375
MINNETONKA MN
55345-3741
US

V. Phone/Fax

Practice location:
  • Phone: 763-900-6509
  • Fax: 888-414-7308
Mailing address:
  • Phone: 763-900-6509
  • Fax: 888-414-7308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3206
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number721
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5575
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1589
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: