DR. Lori R. Enevoldsen, D.C.

NPI #1225041122 in Dyer, Indiana

Provider Information

NPI Number: 1225041122
Entity Type: Individual
Name: DR. Lori R. Enevoldsen, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Aug 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1100 JOLIET ST STE 104
City: Dyer
State: Indiana
ZIP Code: 46311-1995
Phone: (219) 865-9917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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