Individual
COLTEN LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
111 E GRANT ST APT 4, GREENTOWN, IN 46936-1275
(765) 860-9522
Mailing address
7539 E 600 N, GREENTOWN, IN 46936-8843
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002996A
IN
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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