Individual
DR. LORI DANIELLE KINTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
888 W GALENA AVE, FREEPORT, IL 61032-3974
(815) 616-8424
Mailing address
888 W GALENA AVE, FREEPORT, IL 61032-3974
(815) 616-8424
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
007392
IA
111N00000X
Chiropractor
Primary
038012012
IL
111N00000X
Chiropractor
2301009222
MI
Other
Enumeration date
08/23/2006
Last updated
12/22/2011
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