OrganizationActive
Lake Street Pain Relief Center, Inc
NPI 1104043355 · Chiropractor · Minneapolis, MN
Provider details
- NPI number
- 1104043355
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Arelis Garcia, Medical Billing Supervisor(954) 990-8134
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
515 W Lake St Ste F
Minneapolis, MN 55408-2981
Phone: (612) 827-7246
Fax: (612) 827-8206
Street-level locationGet directions
Mailing address
1304 E Lake St Ste 101
Minneapolis, MN 55407-1777
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2020-03-16
- Certified
- 2020-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.