Lutz Physical Medicine Corp

NPI #1578993606 in Peoria, Illinois

Provider Information

NPI Number: 1578993606
Entity Type: Organization
Organization Name: Lutz Physical Medicine Corp
Primary Specialty: Chiropractor
Enumeration Date: Nov 27, 2013
Last Updated: Nov 27, 2013

Practice Location

Address: 3105 N PROSPECT RD
Address 2: JENESSA LUTZ
City: Peoria
State: Illinois
ZIP Code: 61603
Phone: (309) 840-3217

Authorized Official

Name: DR. JENESSA KALENE LUTZ, DC
Title: CHIROPRACTOR
Phone: (309) 840-3217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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