# LOR CHIROPRACTIC CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205224086
- **Authorized official:** GEORGE N LOR DC (MANAGER)
- **Authorized official phone:** (715) 803-5931

## Contact information

- **Practice address:** 4701 N 76TH ST, SUITE 201, MILWAUKEE, WI 53218-4700
- **Practice address phone:** (715) 803-5931
- **Mailing address:** 4701 N 76TH ST, SUITE 201, MILWAUKEE, WI 53218-4700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4343-012 | WI | Yes |

## Other

- **Enumeration date:** 01/02/2015
- **Last updated:** 04/30/2015