MEDICARE: DR. MICHAEL RAYMOND LAMPPA D.C.

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	1658	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780731836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL RAYMOND LAMPPA D.C.

Provider Business Mailing Address
First Line	:	6600 FRANCE AVE S STE 206
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-1810
Country	:	US
Telephone Number	:	952-926-7515
Fax Number	:

Provider Business Practice Location Address
First Line	:	6600 FRANCE AVE S STE 206
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-1810
Country	:	US
Telephone Number	:	952-926-7515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	10/09/2020

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