Provider Demographics
NPI:1356616809
Name:TRIZULNY, ANDRIA LEA (DC)
Entity type:Individual
Prefix:
First Name:ANDRIA
Middle Name:LEA
Last Name:TRIZULNY
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 1:7604 LANDAU DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55438-2314
Mailing Address - Country:US
Mailing Address - Phone:763-486-6119
Mailing Address - Fax:
Practice Address - Street 1:10700 NORMANDALE BLVD
Practice Address - Street 2:#A
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-2700
Practice Address - Country:US
Practice Address - Phone:952-888-5805
Practice Address - Fax:952-888-7563
Is Sole Proprietor?:No
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5638111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor