Individual
DR. JENESSA KALENE LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3105 N PROSPECT RD, PEORIA, IL 61603-1505
(309) 685-5224
(309) 685-7377
Mailing address
3105 N PROSPECT RD, PEORIA, IL 61603-1505
(309) 685-5224
(309) 685-7377
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011261
IL
Other
Enumeration date
03/17/2008
Last updated
02/07/2013
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