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Organization
LORRAINE PROVENZANO, CHIROPRACTIC, INC.
Active
Organization
LORRAINE PROVENZANO, CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE ANN PROVENZANO D.C. (OWNER/ PRESIDENT)
(760) 342-2264
Entity
Organization
Contact information
Practice address
81709 DOCTOR CARREON BLVD STE A5, INDIO, CA 92201-5509
(760) 342-2264
(760) 342-4370
Mailing address
81709 DOCTOR CARREON BLVD STE A5, INDIO, CA 92201-5509
(760) 342-2264
(760) 342-4370
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16144
CA
Other
Enumeration date
10/03/2006
Last updated
05/29/2008
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