Lastine Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2194 Issued in MN

Legal business name

LASTINE CHIROPRACTIC PC

Practice address

1411 E College Dr
Ste 4
Marshall, MN 56258-2086

Phone

(507) 537-1475

Fax

(507) 537-9498

NPI assigned

Oct 11, 2011

Last updated

Oct 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kris Blaine Lastine, DC

Title

Doctor/Owner

Phone

(507) 537-1475

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1477837391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 E COLLEGE DR",
            "address_2": "STE 4",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582086",
            "telephone_number": "507-537-1475",
            "fax_number": "507-537-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 E COLLEGE DR",
            "address_2": "STE 4",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582086",
            "telephone_number": "507-537-1475",
            "fax_number": "507-537-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTINE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "LASTINE",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "507-537-1475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891228900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Larsen
• Heidi Larsen, CCC-SLP
• Michael A Larson, LICSW
• Renee Larson, ADT
• Timothy L Larson, PA-C
• Anna Josephine Latza-Oberster, OD
• Morgan Hoffbeck Lavoy
• Gregory Gayle Lecy, DDS
• Miranda Nichole Lee
• Daniel Lister, M.D.

• Chiropractor in Marshall, MN
• Providers in Marshall, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.