Michelle Rae Lelwica, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003003 Issued in MN

Practice address

31108 Government Dr
Pequot Lakes, MN 56472-1001

Phone

(218) 568-5648

Fax

(218) 568-5698

NPI assigned

Aug 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lelwica Chiropractic

  • Chiropractor
  • Pequot Lakes, MN
  • NPI 1780851030
  Medicare reassignment NPD

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1881601672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31108 GOVERNMENT DR",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "564721001",
            "telephone_number": "218-568-5648",
            "fax_number": "218-568-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31108 GOVERNMENT DR",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "564721001",
            "telephone_number": "218-568-5648",
            "fax_number": "218-568-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELWICA",
        "first_name": "MICHELLE",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137828700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Kloster
• Joyce E. Neuman & Dean S. Brandt PTRS.
• Lakes Area Pharmacy
• Lakes Dental Care PLC
• Lelwica Chiropractic
• Loy Pfeiffer Inc
• Mark T. Sherman DDS PA
• Hailee Marie Morford
• Brett P Nienaber, MD
• Northmind Wellness PLLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.