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LAKE NICOLLET CLINIC, PA
NPI 1245675511
Chiropractor in Minneapolis, MN

Active since May 01, 2013
ONE WEST LAKE STREET, SUITE 195, MINNEAPOLIS, MN 55408(612) 259-7570(612) 886-3427 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Nicollet Clinic, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE NICOLLET CLINIC, PA (NPI 1245675511) is a healthcare organization registered as a chiropractor in Minneapolis, Minnesota and active in the NPI registry since May 2013. The organization lists Artur Victor Guzhagin, President, as its authorized official.

NPPES Registry Identity

NPI1245675511
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLAKE NICOLLET CLINIC, PA
Location AddressONE WEST LAKE STREET, SUITE 195Minneapolis, MN 55408-3362
Mailing AddressPo Box 80808Minneapolis, MN 55408-8808 · (612) 259-7570 · Fax (612) 886-3427
Phone(612) 259-7570
Fax(612) 886-3427
Organization SubpartNo
Authorized OfficialArtur Victor GuzhaginPresident · (612) 259-7570
Enumeration DateMay 1, 2013
✔ NPI 1245675511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 1176
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
ONE WEST LAKE STREET, Minneapolis, MN 55408
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Nicollet Clinic, PA's NPI number?

The NPI number for Lake Nicollet Clinic, PA is 1245675511. It was assigned to this organization in the NPPES registry on May 1, 2013.

Where is Lake Nicollet Clinic, PA located?

Lake Nicollet Clinic, PA is located at One West Lake Street Suite 195, Minneapolis, MN 55408. The listed phone number is (612) 259-7570.

What is Lake Nicollet Clinic, PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Lake Nicollet Clinic, PA was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.