Jenessa Kalene Lutz in Peoria - Chiropractor
Jenessa Kalene Lutz - NPI 1174794200
Jenessa Kalene Lutz is a Chiropractor in Peoria, Illinois. Jenessa Kalene Lutz practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jenessa Kalene Lutz is 1174794200. The last update date is 2013-02-07.
Jenessa Kalene Lutz's current location address is 3105 N Prospect Rd, Peoria, Illinois. You can contact this provider via phone number 3096855224 and fax number 3096857377. The mailing address for Jenessa Kalene Lutz is 3105 N Prospect Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jenessa Kalene Lutz |
|---|---|
| Address | 3105 N Prospect Rd, Peoria, Illinois |
| Phone Number | 3096855224 |
| Fax Number | 3096857377 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1174794200 |
|---|---|
| Provider Enumeration Date | 2008-03-17 |
| Last Updated Date | 2013-02-07 |
Provider Mailing Address Detail
| Address | 3105 N Prospect Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616031505 |
| Phone Number | 3096855224 |
| Fax Number | 3096857377 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38011261 |
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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 inte |
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Post Comment/ Review Below
What is the unique identifier code issued to Jenessa Kalene Lutz by the Centers for Medicare & Medicaid Services (CMS)?
The Jenessa Kalene Lutz has been assigned the NPI (National Provider Identifier) 1174794200. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Jenessa Kalene Lutz's physical address?
The Jenessa Kalene Lutz is physically located at 3105 N Prospect Rd, in the city of Peoria, IL, with the postal code 616031505.
What is Jenessa Kalene Lutz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jenessa Kalene Lutz's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Jenessa Kalene Lutz receive its 1174794200 assignment from the Centers for Medicare & Medicaid Services?
The Jenessa Kalene Lutz was assigned its 1174794200 by the Centers for Medicare & Medicaid Services on 2008-03-17.
When was the information regarding Jenessa Kalene Lutz, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jenessa Kalene Lutz, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-02-07.
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