Provider Demographics
NPI:1477872422
Name:WEIRICH, LERIN (DC)
Entity Type:Individual
Prefix:DR
First Name:LERIN
Middle Name:
Last Name:WEIRICH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LERIN
Other - Middle Name:
Other - Last Name:DOLLAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:314 E PLANT ST
Mailing Address - Street 2:A-103
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-3133
Mailing Address - Country:US
Mailing Address - Phone:407-276-7896
Mailing Address - Fax:
Practice Address - Street 1:314 E PLANT ST
Practice Address - Street 2:A-103
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3133
Practice Address - Country:US
Practice Address - Phone:407-276-7896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008663111N00000X
FLCH 10216111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor