Provider Demographics
NPI:1942087838
Name:CRAFT, LOREN (DC)
Entity Type:Individual
Prefix:
First Name:LOREN
Middle Name:
Last Name:CRAFT
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 1:189 COUNTY ROAD 426
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-8693
Mailing Address - Country:US
Mailing Address - Phone:870-919-0865
Mailing Address - Fax:
Practice Address - Street 1:1306 S CARAWAY RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4507
Practice Address - Country:US
Practice Address - Phone:870-203-9269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16401111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor