Provider Demographics
NPI:1457301541
Name:HEBERT, LORENE L (DC, QME)
Entity Type:Individual
Prefix:DR
First Name:LORENE
Middle Name:L
Last Name:HEBERT
Suffix:
Gender:F
Credentials:DC, QME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2763 E SHAW AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-8220
Mailing Address - Country:US
Mailing Address - Phone:559-978-2465
Mailing Address - Fax:559-226-3716
Practice Address - Street 1:2763 E SHAW AVE
Practice Address - Street 2:STE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-8220
Practice Address - Country:US
Practice Address - Phone:559-978-2465
Practice Address - Fax:559-226-3716
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23838111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor