Provider Demographics
NPI:1972061489
Name:LINTZ, MORGAN TAYLOR (DC)
Entity Type:Individual
Prefix:MISS
First Name:MORGAN
Middle Name:TAYLOR
Last Name:LINTZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7511 MOURNING DOVE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-5097
Mailing Address - Country:US
Mailing Address - Phone:563-320-7217
Mailing Address - Fax:
Practice Address - Street 1:7511 MOURNING DOVE RD STE 104
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-5097
Practice Address - Country:US
Practice Address - Phone:563-320-7217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5036111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor