MEDICARE: LIFESTYLE CHIROPRACTIC AND WELLNESS, PA

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

General Provider Information

NPI Number	:	1376104901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFESTYLE CHIROPRACTIC AND WELLNESS, PA

Provider Business Mailing Address
First Line	:	750 S PLAZA DR STE 104
Second Line	:
City	:	MENDOTA HEIGHTS
State	:	MN
Zip	:	55120-1505
Country	:	US
Telephone Number	:	651-406-4454
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 S PLAZA DR STE 104
Second Line	:
City	:	MENDOTA HEIGHTS
State	:	MN
Zip	:	55120-1505
Country	:	US
Telephone Number	:	612-710-8798
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	ANDREW DAVID NEWMAN
Credential	:	DC
Telephone Number	:	612-710-8798

Provider Enumeration Date	:	06/25/2019
Last Update Date	:	11/25/2025

Similar Medicare Providers

1417883521 — DR. BRADLEY COOPER DC
Practice Location Address:

750 S PLAZA DR STE 104
MENDOTA HEIGHTS, MN
55120-1505

Practice Phone: 651-406-4454
Practice Fax:

1578623773 — MR. PATRICK THOMAS BALLARD DDS
Practice Location Address:

750 S PLAZA DR , STE 316
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1730537929 — DR. ANDREW NEWMAN D.C.
Practice Location Address:

750 S PLAZA DR STE 104
MENDOTA HEIGHTS, MN
55120-1505

Practice Phone: 612-710-8798
Practice Fax:

1144725623 — RESIDENTIAL TRANSITIONS INCORPORATED
Practice Location Address:

750 S PLAZA DR STE 100
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55120-1505

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1053974865 — JUSTIN W SWANSON LICSW
Practice Location Address:

750 S PLAZA DR STE 100
MENDOTA HEIGHTS, MN
55120-1505

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1528660818 — CHERRY ANNE WISEMAN MASSAGE THERAPIST
Practice Location Address:

750 S PLAZA DR STE 124
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