Provider Demographics
NPI:1992879530
Name:HJORT, LAURA LYNNE (DC)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LYNNE
Last Name:HJORT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 NORMAN AVE S
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:MN
Mailing Address - Zip Code:56329-8767
Mailing Address - Country:US
Mailing Address - Phone:320-968-7413
Mailing Address - Fax:320-968-7469
Practice Address - Street 1:130 NORMAN AVE S
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:MN
Practice Address - Zip Code:56329-8767
Practice Address - Country:US
Practice Address - Phone:320-968-7413
Practice Address - Fax:320-968-7469
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4434111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN120707OtherHEALTH PARTNERS
MN494R9HJOtherBCBS
MN847090100OtherMN MA
MNU96749Medicare UPIN
MN350003346Medicare ID - Type Unspecified