Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lake Nicollet Clinic, PA

Organization Chiropractor · NPI 1245675511

Lake Nicollet Clinic, PA provides Chiropractor services in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Partly verified

Some contact details are missing from the federal record.

One W Lake St Ste 195
Minneapolis, MN 55408-3362 Not confirmed with CMS for 13 years — call before visiting
Phone: (612) 259-7570
Fax: (612) 886-3427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1176 (MN)

Record details

NPI number1245675511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Artur Guzhagin — President · (612) 259-7570
NPI enumeratedMay 1, 2013
Last updated in NPPESMay 1, 2013
Mailing addressPo Box 80808, Minneapolis, MN 55408-8808

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