person
Dr. Jack Ellis Lorenz, DC
Chiropractor in Defiance, Ohio
NPI 1083723613

Jack Ellis Lorenz is a Chiropractor based in Defiance, OH. Jack Ellis Lorenz practices in Defiance, OH and has the professional credentials of DC. The NPI Number for Jack Ellis Lorenz is 1083723613 and holds a License No. 676 (Ohio).

The current practice location address for Jack Ellis Lorenz is 1770 Jefferson Ave, Defiance, OH and can be reached out via phone at 419-782-2250 and via fax at 419-784-2347.

Location: 1770 Jefferson Ave, Defiance, OH, 43512
person
Provider Profile Details
NPI Number
1083723613
Provider Name
Jack Ellis Lorenz
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1770 Jefferson Ave, Defiance, OH, 43512
Phone Number
419-782-2250
Fax Number
419-784-2347
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000119614 01 ANTHEM
0340885 05 OH
institution
Provider Business Practice Location Address Details
Address
1770 Jefferson Ave
City
State
Zip
43512
Phone Number
419-782-2250
Fax Number
419-784-2347
person
Provider Business Mailing Address Details
Address
1770 Jefferson Ave
City
State
Zip
43512
Phone Number
419-782-2250
Fax Number
419-784-2347
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
676 (Ohio)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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