Provider Demographics
NPI:1558792358
Name:CROTTI, LORIANN (DC)
Entity Type:Individual
Prefix:DR
First Name:LORIANN
Middle Name:
Last Name:CROTTI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LORIANN
Other - Middle Name:
Other - Last Name:MULLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:418 MAIN ST STE 900
Mailing Address - Street 2:
Mailing Address - City:DICKSON CITY
Mailing Address - State:PA
Mailing Address - Zip Code:18519-1775
Mailing Address - Country:US
Mailing Address - Phone:570-382-3034
Mailing Address - Fax:570-382-3027
Practice Address - Street 1:418 MAIN ST STE 900
Practice Address - Street 2:
Practice Address - City:DICKSON CITY
Practice Address - State:PA
Practice Address - Zip Code:18519-1775
Practice Address - Country:US
Practice Address - Phone:570-382-3034
Practice Address - Fax:570-382-3027
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-03
Last Update Date:2020-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAJ010591111N00000X
PADC010807111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor