MEDICARE: LAKE POINTE CHIROPRACTIC CENTRE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	75250	OTHER	MN	HEALTH PARTNERS
2	18F89LA	OTHER	MN	BCBS MN

General Provider Information

NPI Number	:	1154453892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAKE POINTE CHIROPRACTIC CENTRE

Provider Business Mailing Address
First Line	:	5000 W 36TH ST STE 120
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55416-2758
Country	:	US
Telephone Number	:	612-922-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 W 36TH ST STE 120
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55416-2758
Country	:	US
Telephone Number	:	612-922-8100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CARRIE GETZMIER
Credential	:	D.C.
Telephone Number	:	612-922-8100

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	08/22/2020

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Directions to “LAKE POINTE CHIROPRACTIC CENTRE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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