| Lor Chiropractic Clinic Llc | |
|
4701 N 76th St, Suite 201, Milwaukee, WI 53218-4700 | |
| (715) 803-5931 | |
| Not Available |
| Full Name | Lor Chiropractic Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4701 N 76th St, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205224086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4343-012 (Wisconsin) | Primary |
| Provider Name | George N Lor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487836615 PECOS PAC ID: 2567544331 Enrollment ID: I20080201000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Lor Chiropractic Clinic Llc 4701 N 76th St, Suite 201, Milwaukee, WI 53218-4700 Ph: () - | Lor Chiropractic Clinic Llc 4701 N 76th St, Suite 201, Milwaukee, WI 53218-4700 Ph: (715) 803-5931 |
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