Lorraine Ann Provenzano is a Indio, California based female chiropractor who is specialized as General Chiropractor. Active license number of Lorraine Ann Provenzano as General Chiropractor is 16144 in California. Lorraine Ann Provenzano is qualified as 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.
Complete Profile:
Lorraine Ann Provenzano speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Female
Practice Address:
81709 Doctor Carreon Blvd Ste A5, Indio, California, 92201-5509
Phone:
760-342-2264
Fax:
760-342-4370
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1063506160
NPI Enumeration Date:
03 Oct, 2006
NPI Last Update On:
15 Mar, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lorraine Ann Provenzano are as mentioned below.
License Number
Specialization
State
Status
16144
Chiropractor
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Lorraine Ann Provenzano such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DC0161440
Other
California
BLUE SHIELD PROVIDER #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
81709 Doctor Carreon Blvd Ste A5, Indio, California
Zip:
92201-5509
Phone Number:
760-342-2264
Fax Number:
760-342-4370
Patients can reach Lorraine Ann Provenzano at 81709 Doctor Carreon Blvd Ste A5, Indio, California or can call to book an appointment on 760-342-2264. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.