LAKE AND LEAF CHIROPRACTIC PLLC
NPI 1669193793
Clinic/Center in Lindstrom, MN

Active since September 07, 2022
12818 LAKE BLVD, LINDSTROM, MN 55045(651) 257-2300(651) 257-2333 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2022, Sep 7, 2022 (2 updates tracked since 2022).

About Lake And Leaf Chiropractic Pllc NPPES

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

LAKE AND LEAF CHIROPRACTIC PLLC (NPI 1669193793) is a healthcare organization registered as a clinic/center in Lindstrom, Minnesota and active in the NPI registry since September 2022. The organization lists Eric Jon Gormanson, Owner, as its authorized official.

NPPES Registry Identity

NPI1669193793
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLAKE AND LEAF CHIROPRACTIC PLLC
Location Address12818 LAKE BLVDLindstrom, MN 55045
Mailing Address12818 Lake BlvdLindstrom, MN 55045 · (651) 257-2300 · Fax (651) 257-2333
Fax(651) 257-2333
Organization SubpartNo
Authorized OfficialEric Jon GormansonOwner · (651) 257-2300
Enumeration DateSeptember 7, 2022
Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
NPI 1669193793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
12818 LAKE BLVD, Lindstrom, MN 55045

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
12818 LAKE BLVD
LINDSTROM, MN 55045

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 And Leaf Chiropractic PLLC's NPI number?

The NPI number for Lake And Leaf Chiropractic PLLC is 1669193793. It was assigned to this organization in the NPPES registry on September 7, 2022.

Where is Lake And Leaf Chiropractic PLLC located?

Lake And Leaf Chiropractic PLLC is located at 12818 Lake Blvd, Lindstrom, MN 55045. The listed phone number is (651) 257-2300.

What is Lake And Leaf Chiropractic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Lake And Leaf Chiropractic PLLC accept?

Health plans from HealthPartners list Lake And Leaf Chiropractic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake And Leaf Chiropractic PLLC was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.