| Lorraine Ann Provenzano, DC | |
|
81709 Doctor Carreon Blvd Ste A5, Indio, CA 92201-5509 | |
| (760) 342-2264 | |
| (760) 342-4370 |
| Full Name | Lorraine Ann Provenzano |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 81709 Doctor Carreon Blvd Ste A5, Indio, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063506160 | NPI | - | NPPES |
| DC0161440 | Other | CA | BLUE SHIELD PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 16144 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lorraine Ann Provenzano, DC 81709 Doctor Carreon Blvd Ste A5, Indio, CA 92201-5509 Ph: (760) 342-2264 | Lorraine Ann Provenzano, DC 81709 Doctor Carreon Blvd Ste A5, Indio, CA 92201-5509 Ph: (760) 342-2264 |
Dawson Chiropractic Corp Chiropractor Medicare: Medicare Enrolled Practice Location: 82013 Dr Carreon Blvd, B, Indio, CA 92201 Phone: 760-775-6966 Fax: 760-342-6882 | |
Dr. Michael H Dawson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 82013 Doctor Carreon Blvd, Suite B, Indio, CA 92201 Phone: 760-775-6966 Fax: 760-342-6882 | |
Dr. Marco Antonio Cazares, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 81-480 Avenue 46. Suite 102, Indio, CA 92220 Phone: 760-863-5955 Fax: 760-863-5655 | |
Stuart Alden Greenwood, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 81557 Dr Carreon Blvd, Suite B-5, Indio, CA 92201 Phone: 760-347-4554 Fax: 760-347-1623 | |
Dr. Eric Michael Davenport, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 80150 Us Highway 111, Suite C5, Indio, CA 92201 Phone: 760-863-0435 Fax: 760-863-0436 | |
Integreted Health Care Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 81557 Doctor Carreon Blvd, Suite B5, Indio, CA 92201 Phone: 760-347-4554 Fax: 760-347-1623 |