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Lorraine Ann Provenzano, DC
Chiropractor in Indio, California
NPI 1063506160

Lorraine Ann Provenzano is a Chiropractor based in Indio, CA. Lorraine Ann Provenzano practices in Indio, CA and has the professional credentials of DC. The NPI Number for Lorraine Ann Provenzano is 1063506160 and holds a License No. 16144 (California).

The current practice location address for Lorraine Ann Provenzano is 81709 Doctor Carreon Blvd Ste A5, Indio, CA and can be reached out via phone at 760-342-2264 and via fax at 760-342-4370.

Location: 81709 Doctor Carreon Blvd Ste A5, Indio, CA, 92201-5509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063506160
Provider Name
Lorraine Ann Provenzano
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
81709 Doctor Carreon Blvd Ste A5, Indio, CA, 92201-5509
Phone Number
760-342-2264
Fax Number
760-342-4370
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC0161440 01 CA BLUE SHIELD PROVIDER #
institution
Provider Business Practice Location Address Details
Address
81709 Doctor Carreon Blvd Ste A5
City
Indio
State
California
Zip
92201-5509
Phone Number
760-342-2264
Fax Number
760-342-4370
person
Provider Business Mailing Address Details
Address
81709 Doctor Carreon Blvd Ste A5
City
Indio
State
California
Zip
92201-5509
Phone Number
760-342-2264
Fax Number
760-342-4370
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
16144 (California)
Definition
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.
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