Provider Demographics
NPI:1366561052
Name:L'ALLIER, ANDREW JAMES (DC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:JAMES
Last Name:L'ALLIER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 N FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-2359
Mailing Address - Country:US
Mailing Address - Phone:651-438-0143
Mailing Address - Fax:651-438-0373
Practice Address - Street 1:1266 N FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033-2359
Practice Address - Country:US
Practice Address - Phone:651-438-0143
Practice Address - Fax:651-438-0373
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4359111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor