Provider Demographics
NPI:1861654972
Name:DIFIORE, LENORE SUSAN (DC)
Entity Type:Individual
Prefix:MS
First Name:LENORE
Middle Name:SUSAN
Last Name:DIFIORE
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 1:129 ALICE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-2257
Mailing Address - Country:US
Mailing Address - Phone:207-878-1208
Mailing Address - Fax:
Practice Address - Street 1:129 ALICE ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-2257
Practice Address - Country:US
Practice Address - Phone:207-878-1208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1601111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic