Provider Demographics
NPI:1326137563
Name:HAMBURGER, LORENZ WOLF (DC)
Entity Type:Individual
Prefix:DR
First Name:LORENZ
Middle Name:WOLF
Last Name:HAMBURGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70452 HIGHWAY 21
Mailing Address - Street 2:SUITE 200-161
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-8116
Mailing Address - Country:US
Mailing Address - Phone:985-871-1189
Mailing Address - Fax:985-871-1184
Practice Address - Street 1:187 GREENBRIAR BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7234
Practice Address - Country:US
Practice Address - Phone:985-871-1189
Practice Address - Fax:985-871-1184
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9514111N00000X
LA1595111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor