Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Marion Chiropractic Center PA

Organization Sports Physician Chiropractor · NPI 1225115405

Lake Marion Chiropractic Center PA provides Sports Physician Chiropractor services in Lakeville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20176 Heritage Dr
Lakeville, MN 55044-6855
Phone: (952) 469-8385
Fax: (952) 469-1713
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence 3955 (MN)

Record details

NPI number1225115405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Couillard — President · (952) 469-8385
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address20176 Heritage Dr, Lakeville, MN 55044-6855

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