MEDICARE: LORN ALLISON D.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172P00000X	Naprapath	181.000378	IL

General Provider Information

NPI Number	:	1205177193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORN ALLISON D.N.

Provider Business Mailing Address
First Line	:	3520 PANDOLA AVE
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60431-2728
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2718 CATON FARM RD
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60435-1309
Country	:	US
Telephone Number	:	630-640-4907
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2013
Last Update Date	:	06/13/2013

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