Provider Demographics
NPI:1164562872
Name:SENDER-O'HARA, LORI (DC)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:SENDER-O'HARA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CARLO DR
Mailing Address - Street 2:STE B
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-2072
Mailing Address - Country:US
Mailing Address - Phone:805-964-0222
Mailing Address - Fax:805-964-0022
Practice Address - Street 1:25 CARLO DR
Practice Address - Street 2:STE B
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-2072
Practice Address - Country:US
Practice Address - Phone:805-964-0222
Practice Address - Fax:805-964-0022
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18637111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA770205769OtherTAX ID
CAU16927Medicare UPIN