Provider Demographics
NPI:1497881973
Name:LOMORI, JEANETTE YVONNE (DC)
Entity Type:Individual
Prefix:DR
First Name:JEANETTE
Middle Name:YVONNE
Last Name:LOMORI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JEANETTE
Other - Middle Name:YVONNE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:422 S MURPHY AVENUE #3
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-6187
Mailing Address - Country:US
Mailing Address - Phone:408-733-1860
Mailing Address - Fax:408-733-2075
Practice Address - Street 1:422 S MURPHY AVENUE #3
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-6187
Practice Address - Country:US
Practice Address - Phone:408-733-1860
Practice Address - Fax:408-733-2075
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25124111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor