Provider Demographics
NPI:1457455727
Name:BAILEY, LORRAINE C (DC)
Entity Type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:C
Last Name:BAILEY
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 1:1119 E. COLLEGE ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PULASKI
Mailing Address - State:TN
Mailing Address - Zip Code:38478
Mailing Address - Country:US
Mailing Address - Phone:931-424-3331
Mailing Address - Fax:931-363-9777
Practice Address - Street 1:1119 E. COLLEGE ST
Practice Address - Street 2:SUITE 4
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478
Practice Address - Country:US
Practice Address - Phone:931-424-3331
Practice Address - Fax:931-363-9777
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN306111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor