Provider Demographics
NPI:1245747419
Name:LAMIRANDE, DANIELLE ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:ELIZABETH
Last Name:LAMIRANDE
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 1:311 N TUSTIN ST
Mailing Address - Street 2:STE C
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-7776
Mailing Address - Country:US
Mailing Address - Phone:657-650-8983
Mailing Address - Fax:
Practice Address - Street 1:311 N TUSTIN ST STE C
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-7776
Practice Address - Country:US
Practice Address - Phone:657-650-8983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-09
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor