Lorraine Ann Provenzano, D.C.
NPI #1063506160 in Indio, California
Provider Information
- NPI Number
- 1063506160
- Entity Type
- Individual
- Name
- Lorraine Ann Provenzano, D.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Mar 15, 2008
Practice Location
- Address
- 81709 DOCTOR CARREON BLVD STE A5
- City
- Indio
- State
- California
- ZIP Code
- 92201-5509
- Phone
- (760) 342-2264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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