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LORRAINE ANN PROVENZANO D.C.
NPI 1063506160
Chiropractor in Indio, CA

Active since October 03, 2006
81709 DOCTOR CARREON BLVD STE A5, INDIO, CA 92201(760) 342-2264(760) 342-4370 Get Directions Write a Review

NPPES record last updated: March 15, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lorraine Ann Provenzano D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORRAINE ANN PROVENZANO D.C. (NPI 1063506160) is an individual chiropractor in Indio, California, licensed in California (16144) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1063506160
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameLORRAINE ANN PROVENZANOCredential: D.C.
Location Address81709 DOCTOR CARREON BLVD STE A5Indio, CA 92201-5509
Mailing Address81709 Doctor Carreon Blvd Ste A5Indio, CA 92201-5509 · (760) 342-2264 · Fax (760) 342-4370
Phone(760) 342-2264
Fax(760) 342-4370
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateMarch 15, 2008
✔ NPI 1063506160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 16144
Definition
A provider qualified by 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.
81709 DOCTOR CARREON BLVD STE A5, Indio, CA 92201
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Other Identifiers 3

Medicare UPINT06041CA
Medicare PINDC0161440CA
OtherDC0161440CA · Blue Shield Provider #

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORRAINE PROVENZANO, CHIROPRACTIC, INC.
Chiropractor
81709 DOCTOR CARREON BLVD STE A5
INDIO, CA 92201
Riverside County (760) 342-2264

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lorraine Provenzano's NPI number?

The NPI number for Lorraine Provenzano is 1063506160. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Lorraine Provenzano located?

Lorraine Provenzano practices at 81709 Doctor Carreon Blvd Ste A5, Indio, CA 92201. The listed phone number is (760) 342-2264.

What is Lorraine Provenzano's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Lorraine Provenzano was last updated on March 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.