Provider Demographics
NPI:1518948876
Name:DEVEUVE, LORI (DC)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:
Last Name:DEVEUVE
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 1:62A CRANBERRY HWY
Mailing Address - Street 2:RTE 6A
Mailing Address - City:ORLEANS
Mailing Address - State:MA
Mailing Address - Zip Code:02653-2411
Mailing Address - Country:US
Mailing Address - Phone:508-255-8686
Mailing Address - Fax:508-255-6428
Practice Address - Street 1:62A CRANBERRY HWY
Practice Address - Street 2:RTE 6A
Practice Address - City:ORLEANS
Practice Address - State:MA
Practice Address - Zip Code:02653-2411
Practice Address - Country:US
Practice Address - Phone:508-255-8686
Practice Address - Fax:508-255-6428
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2120111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1604660Medicaid
MABCBS OF MAOtherY36552
MAHPHCOtherAA69963
MAHPHCOtherAA69963
MAU67615Medicare UPIN