Individual
DR. MARTY JON LORENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2850 NATIONAL DR, STE 105, ONALASKA, WI 54650-6732
(608) 519-5767
(608) 519-5768
Mailing address
2850 NATIONAL DR, STE 105, ONALASKA, WI 54650-6732
(608) 519-5767
(608) 519-5768
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3375
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38898200
—
WI
01
—
P00108135
RAILROAD MEDICARE PIN
WI
Enumeration date
06/14/2006
Last updated
03/26/2014
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