Provider Demographics
NPI:1336289701
Name:HAGER, LOREN M (DC)
Entity Type:Individual
Prefix:DR
First Name:LOREN
Middle Name:M
Last Name:HAGER
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 1:18 CATHERINE ST
Mailing Address - Street 2:APT 2
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4526
Mailing Address - Country:US
Mailing Address - Phone:203-858-7200
Mailing Address - Fax:
Practice Address - Street 1:18 CATHERINE ST
Practice Address - Street 2:APT 2
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4526
Practice Address - Country:US
Practice Address - Phone:203-858-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001679111N00000X
NYX011386111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor