Provider Demographics
NPI:1285800037
Name:LORCZAK CHIROPRACTIC, PC
Entity type:Organization
Organization Name:LORCZAK CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SEAN
Authorized Official - Last Name:LORCZAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-644-8078
Mailing Address - Street 1:8004 LINVILLE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:OAK RIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:27310-9811
Mailing Address - Country:US
Mailing Address - Phone:336-644-8078
Mailing Address - Fax:336-644-8079
Practice Address - Street 1:8004 LINVILLE RD
Practice Address - Street 2:SUITE B
Practice Address - City:OAK RIDGE
Practice Address - State:NC
Practice Address - Zip Code:27310-9811
Practice Address - Country:US
Practice Address - Phone:336-644-8078
Practice Address - Fax:336-644-8079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty