Individual provider · Type 1 NPI
Lorraine Ann Provenzano, DC
Chiropractor · Indio, CA
NPI number
1063506160
Active
Practice location
81709 Doctor Carreon Blvd Ste A5
Indio, CA 92201-5509
Fax (760) 342-4370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 16144 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1063506160
Lorraine Ann Provenzano, DC's National Provider Identifier is 1063506160, issued on Oct 3, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Indio, CA. The record was last updated on Mar 15, 2008.