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Loren Davis, DC
Chiropractor in Lockport, Illinois
NPI 1891917795

Loren Davis is a Chiropractor based in Lockport, IL. Loren Davis practices in Lockport, IL and has the professional credentials of DC. The NPI Number for Loren Davis is 1891917795 and holds a License No. 038008320 (Illinois).

The current practice location address for Loren Davis is 16622 W. 159Th St., Lockport, IL and can be reached out via phone at 815-838-7746 and via fax at 815-838-5090.

Location: 16622 W. 159Th St., Lockport, IL, 60441-8015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891917795
Provider Name
Loren Davis
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
16622 W. 159Th St., Lockport, IL, 60441-8015
Phone Number
815-838-7746
Fax Number
815-838-5090
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00864465 01 PTAN
9932868 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
16622 W. 159Th St.
City
Lockport
State
Illinois
Zip
60441-8015
Phone Number
815-838-7746
Fax Number
815-838-5090
person
Provider Business Mailing Address Details
Address
16622 W. 159Th St.
City
Lockport
State
Illinois
Zip
60441-8015
Phone Number
815-838-7746
Fax Number
815-838-5090
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038008320 (Illinois)
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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