Provider Demographics
NPI:1346310570
Name:FARR, LORIN G (DC)
Entity Type:Individual
Prefix:MR
First Name:LORIN
Middle Name:G
Last Name:FARR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 KANSAS DR
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-8723
Mailing Address - Country:US
Mailing Address - Phone:530-391-1581
Mailing Address - Fax:
Practice Address - Street 1:3091 ALHAMBRA DR
Practice Address - Street 2:STE A
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682
Practice Address - Country:US
Practice Address - Phone:530-677-4468
Practice Address - Fax:530-677-1665
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12401111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0124010Medicare ID - Type Unspecified
T04746Medicare UPIN