Provider Demographics
NPI:1942942693
Name:HUNTER, LORENZO (DC)
Entity Type:Individual
Prefix:
First Name:LORENZO
Middle Name:
Last Name:HUNTER
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 1:4 CONCOURSE PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-6108
Mailing Address - Country:US
Mailing Address - Phone:770-396-9100
Mailing Address - Fax:770-396-9101
Practice Address - Street 1:4 CONCOURSE PKWY STE 110
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-6108
Practice Address - Country:US
Practice Address - Phone:770-396-9100
Practice Address - Fax:770-396-9101
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO010631111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor