Lysyk Smith, Ala Lora
Lysyk Smith, Ala Lora is an individual health care provider with primary practice located at 104 W Lincoln Ave , Fergus Falls MN 56537-2123. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Lysyk Smith, Ala Lora can be contacted via phone (218) 736-4113.Contact Information
Primary practice address
104 W Lincoln Ave
Fergus Falls MN 56537-2123
Phone: (218) 736-4113
Fax: (218) 998-4337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3238 | Minnesota |
Profile Details
| NPI number | 1588651038 |
|---|---|
| LBN Legal business name | Lysyk Smith, Ala Lora |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Jul 15th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588651038 | NPPES |
| Minnesota | Other | 231892 | CHIROCARE |
| Minnesota | Other | 350046096 | CHIROCARE |
| Minnesota | Other | 4C740LY | CHIROCARE |
| Minnesota | MEDICAID | 804023100 | CHIROCARE |
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