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Individual
DR. LORI J EISENBEISZ
Active
Individual
DR. LORI J EISENBEISZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
817
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7601210
—
SD
Enumeration date
01/25/2007
Last updated
07/08/2007
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