Lorraine Provenzano, Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16144 Issued in CA

Legal business name

LORRAINE PROVENZANO, CHIROPRACTIC, INC.

Practice address

81709 Doctor Carreon Blvd Ste A5
Indio, CA 92201-5509

Phone

(760) 342-2264

Fax

(760) 342-4370

NPI assigned

Oct 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lorraine Ann Provenzano, D.C.

Title

Owner/ President

Phone

(760) 342-2264

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rene Loredo Rivera, D.C.

  • Chiropractor
  • Indio, CA
  • NPI 1457538308
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1710071824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81709 DOCTOR CARREON BLVD STE A5",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015509",
            "telephone_number": "760-342-2264",
            "fax_number": "760-342-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81709 DOCTOR CARREON BLVD STE A5",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015509",
            "telephone_number": "760-342-2264",
            "fax_number": "760-342-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORRAINE PROVENZANO, CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "PROVENZANO",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "760-342-2264",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel D. Lopez, SUBSTANCE ABUSE COUN
• Veronica Lopez, LVN
• Wendy Lopez
• John-John Loreto
• Alondra Pauette Lorigo Avila
• Laleh Lourie, MD
• Christina Loustaunau
• Jasmine Loustaunau
• Antwone Markeys Lovest Jr., RADT
• Pattie Lowey, LVN

• Chiropractor in Indio, CA
• Providers in Indio, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.