Organization
LOR CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE N LOR DC (MANAGER)
(715) 803-5931
Entity
Organization
Contact information
Practice address
4701 N 76TH ST, SUITE 201, MILWAUKEE, WI 53218-4700
(715) 803-5931
Mailing address
4701 N 76TH ST, SUITE 201, MILWAUKEE, WI 53218-4700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4343-012
WI
Other
Enumeration date
01/02/2015
Last updated
04/30/2015
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