Provider Demographics
NPI:1548375546
Name:LACHINSKI, JEREMY WELLINGTON (DC)
Entity type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:WELLINGTON
Last Name:LACHINSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:9580 NOBLE PKWY N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-1416
Mailing Address - Country:US
Mailing Address - Phone:763-561-6020
Mailing Address - Fax:763-561-2651
Practice Address - Street 1:9580 NOBLE PKWY N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-1416
Practice Address - Country:US
Practice Address - Phone:763-561-6020
Practice Address - Fax:763-561-2651
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN4340111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN4340OtherLICENSE NUMBER