Individual
DR. LORENIL HENCOCK BONCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5520 LILBURN STONE MOUNTAIN RD STE E1, STONE MOUNTAIN, GA 30087-2876
(470) 870-8680
Mailing address
4542 WARRIOR TRL SW, LILBURN, GA 30047-4152
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010040
GA
Other
Enumeration date
07/20/2020
Last updated
12/05/2022
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