NPI 1083719561 · live from the CMS NPI Registry
Lyle Charles Coleman, D.C., DIBCN
Chiropractor, Neurology in Owatonna, MN. National Provider Identifier 1083719561, active.
NPI record
| NPI | 1083719561 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor, Neurology 111NN0400X |
| Practice location | 207 W Holly St, Owatonna, MN 55060 |
| Practice phone | 507-451-1654 |
| Enumerated | September 13, 2006 |
| Last updated | November 10, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor, Neurology primary | 111NN0400X | 1245 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.