Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 5275 | NC |
NPI | 1558962613 |
---|---|
Provider Name | Riley Elizabeth Lorenz |
First Address | Asheboro, NC 27205-7983 |
Second Address | Asheboro, NC 27205-7983 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2020 |
Last Update Date | 05/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5275 | NC BOARD OF CHIROPRACTIC EXAMINERS (01) | NC |