Provider Demographics
NPI:1629245352
Name:LALANNE, DORI LYN (CMF)
Entity Type:Individual
Prefix:
First Name:DORI
Middle Name:LYN
Last Name:LALANNE
Suffix:
Gender:F
Credentials:CMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69930 HIGHWAY 111
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-2850
Mailing Address - Country:US
Mailing Address - Phone:760-699-8685
Mailing Address - Fax:760-699-8690
Practice Address - Street 1:69930 HWY 111
Practice Address - Street 2:SUITE 102
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-2854
Practice Address - Country:US
Practice Address - Phone:760-699-8685
Practice Address - Fax:760-699-8690
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter