Provider Demographics
NPI:1225102767
Name:CAYO, LORI ROCHELLE (CHIROPRACTIC)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ROCHELLE
Last Name:CAYO
Suffix:
Gender:F
Credentials:CHIROPRACTIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5637 HAZELTINE AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-4744
Mailing Address - Country:US
Mailing Address - Phone:310-429-1319
Mailing Address - Fax:
Practice Address - Street 1:5637 HAZELTINE AVE.#204
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401
Practice Address - Country:US
Practice Address - Phone:310-429-1319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 24692111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor