Individual
LORENZO ALLEN ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2300 WALNUT ST, SUITE 218, PHILADELPHIA, PA 19103-5552
(215) 520-5150
Mailing address
1704 WALNUT ST, PHILADELPHIA, PA 19103-6148
(215) 732-7873
(215) 520-5150
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
DC006361L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC006361L
STATE LICENSE NUMBER
PA
Enumeration date
07/17/2006
Last updated
07/08/2007
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