| Healthsource Of Lakeville | |
|
15024 Portland Ave, Burnsville, MN 55306-5085 | |
| (763) 772-8723 | |
| Not Available |
| Full Name | Healthsource Of Lakeville |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 15024 Portland Ave, Burnsville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659619492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4978 (Minnesota) | Primary |
| Provider Name | Alison A Behnke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689845778 PECOS PAC ID: 3971674409 Enrollment ID: I20080611000338 |
| Provider Name | Nicole M Lauer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396933313 PECOS PAC ID: 5597846758 Enrollment ID: I20110218000894 |
| Provider Name | Taner Leon Gimberlin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982453593 PECOS PAC ID: 0648794735 Enrollment ID: I20250410001254 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Lakeville 15024 Portland Ave, Burnsville, MN 55306-5085 Ph: (763) 772-8723 | Healthsource Of Lakeville 15024 Portland Ave, Burnsville, MN 55306-5085 Ph: (763) 772-8723 |
Mena Scanlon, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1555 Southcross Dr W, Burnsville, MN 55306 Phone: 651-900-2917 | |
Ms. Jennifer Nicole Mangan, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13955 W Preserve Blvd # 200, Burnsville, MN 55337 Phone: 952-890-0804 Fax: 952-890-1095 | |
Dr. Stephen Alexander Irestone, D.C., N.D. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11970 Portland Ave, Burnsville, MN 55337 Phone: 952-895-7270 Fax: 952-895-1086 | |
Dr. Thomas Alan Anderson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2424 E 117th St, Burnsville, MN 55337 Phone: 952-894-5108 | |
Stacy Neal, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1602 Cliff Road East, Burnsville, MN 55337 Phone: 612-710-7756 | |
Amy Elizabeth Fitzgearlds, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 511 County Road 42 E, Burnsville, MN 55306 Phone: 952-960-8120 | |
Kathleen Ann Bloom, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1606 Cliff Rd E, Burnsville, MN 55337 Phone: 952-894-6300 Fax: 952-894-2601 |