Provider Demographics
NPI:1285038323
Name:LAUTFY HEALING TOUCH CHIROPRACTIC & WELLNESS CORP
Entity Type:Organization
Organization Name:LAUTFY HEALING TOUCH CHIROPRACTIC & WELLNESS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LAUTFY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:909-952-7743
Mailing Address - Street 1:900 S MAIN ST STE 110
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-3401
Mailing Address - Country:US
Mailing Address - Phone:951-372-9441
Mailing Address - Fax:951-372-9448
Practice Address - Street 1:900 S MAIN ST STE 110
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-3401
Practice Address - Country:US
Practice Address - Phone:951-372-9441
Practice Address - Fax:951-372-9448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32931261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center