Provider Demographics
NPI:1558511477
Name:SPINARD, LORRAINE (DC)
Entity Type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:
Last Name:SPINARD
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 1:105 CHAUNCEY THOMAS RD
Mailing Address - Street 2:PO BOX 67
Mailing Address - City:SHOHOLA
Mailing Address - State:PA
Mailing Address - Zip Code:18458-3825
Mailing Address - Country:US
Mailing Address - Phone:570-559-7669
Mailing Address - Fax:570-559-7666
Practice Address - Street 1:105 CHAUNCEY THOMAS RD
Practice Address - Street 2:
Practice Address - City:SHOHOLA
Practice Address - State:PA
Practice Address - Zip Code:18458-3825
Practice Address - Country:US
Practice Address - Phone:570-559-7669
Practice Address - Fax:570-559-7666
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-28
Last Update Date:2008-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC01888L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
01767Medicare UPIN