Provider Demographics
NPI:1932347531
Name:LORBER, TONY MAURICE (DC)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:MAURICE
Last Name:LORBER
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 1:2395 49TH ST S
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-8609
Mailing Address - Country:US
Mailing Address - Phone:563-264-0416
Mailing Address - Fax:563-264-0416
Practice Address - Street 1:2395 49TH ST S
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-8609
Practice Address - Country:US
Practice Address - Phone:563-264-0416
Practice Address - Fax:563-264-0416
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA05049111N00000X
OK1905111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor