Lakeland Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1603 Issued in MN

Legal business name

LAKELAND CHIROPRACTIC CLINIC

Practice address

119 Graystone PLZ
Ste 110
Detroit Lakes, MN 56501-3034

Phone

(218) 847-2631

Fax

(218) 847-0048

NPI assigned

Sep 22, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eugene Clifford Lof, DC

Title

Owner

Phone

(218) 847-2631

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437145711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 GRAYSTONE PLZ",
            "address_2": "STE 110",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013034",
            "telephone_number": "218-847-2631",
            "fax_number": "218-847-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 GRAYSTONE PLZ",
            "address_2": "STE 110",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013034",
            "telephone_number": "218-847-2631",
            "fax_number": "218-847-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOF",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-847-2631",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Labat, DDS
• Michael Keith Lachapelle, LADC
• Jennifer Ladd
• Carrie Amanda Lahr, APRN/CNP
• Lake Region Therapy Services Inc
• Lakeridge Dental Partners, PLLC (Lakeridge Dental)
• Lakes Country Healthcare P.L.L.C.
• Lakes Crisis & Resource Center
• Lakes Homes and Program Development, Inc. (West Home)
• Lakes Medi-Van Inc.

• Chiropractor in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.